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ICD-10-PCS/0HR/0HR5XJ3
Inpatient Procedure Code

0HR5XJ3

Replacement of Chest Skin with Synthetic Substitute, Full Thickness, External Approach

Replace Chest Skin w Synth Sub, Full Thick, Extern

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemH

Skin and Breast

3
Root OperationR

Replacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

4
Body Part5

Skin, Chest

5
ApproachX

External

6
DeviceJ

Synthetic Substitute

7
Qualifier3

Full Thickness

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 27 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0HR5XJ3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

  • 0HR[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation (27)

  • DRG 040 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
  • DRG 041 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
  • DRG 042 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
  • DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES [MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”
  • DRG 356 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — Other Digestive System O.R. Procedures (MDC 06)”
  • DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — Other Digestive System O.R. Procedures (MDC 06)”
  • DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Digestive System O.R. Procedures (MDC 06)”
  • DRG 463 — WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC [MS-DRG]: “WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC — Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders (MDC 08)”
  • and 19 more

MDC crossing · diagnoses (31016)

  • MDC 01 — Diseases and Disorders of the Nervous System [MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • MDC 05 — Diseases and Disorders of the Circulatory System [MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • A02.21 — Salmonella meningitis [Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A06.6 — Amebic brain abscess [Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.0 — Tuberculous meningitis [Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.1 — Meningeal tuberculoma [Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.81 — Tuberculoma of brain and spinal cord [Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • and 31011 more

Nearest codes

  • 0HR0XJ3 — Replacement of Scalp Skin with Synthetic Substitute, Full Thickness, External Approach [One axis away]
  • 0HR1XJ3 — Replacement of Face Skin with Synthetic Substitute, Full Thickness, External Approach [One axis away]
  • 0HR2XJ3 — Replacement of Right Ear Skin with Synthetic Substitute, Full Thickness, External Approach [One axis away]
  • 0HR3XJ3 — Replacement of Left Ear Skin with Synthetic Substitute, Full Thickness, External Approach [One axis away]
  • 0HR4XJ3 — Replacement of Neck Skin with Synthetic Substitute, Full Thickness, External Approach [One axis away]
  • 0HR5X73 — Replacement of Chest Skin with Autologous Tissue Substitute, Full Thickness, External Approach [One axis away]
  • 0HR5XJ4 — Replacement of Chest Skin with Synthetic Substitute, Partial Thickness, External Approach [One axis away]
  • 0HR5XJZ — Replacement of Chest Skin with Synthetic Substitute, External Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.