0HR6XJ3 ICD-10-PCS Code: Replacement of Back Skin with Synthetic Substitute, Full Thickness, External Approach
Replace Back 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.
| Position | Value | Meaning |
|---|---|---|
| 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 Part6 | Skin, Back |
| 5 | ApproachX | External |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | Qualifier3 | Full Thickness |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 27 MS-DRGs:
- MDC 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 05 — Other Circulatory System O.R. Procedures: DRG 264
- MDC 06 — Other Digestive System O.R. Procedures: DRG 356, DRG 357, DRG 358
- MDC 08 — Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders: DRG 463, DRG 464, DRG 465
- MDC 09 — Skin Graft: DRG 573, DRG 574, DRG 575, DRG 576, DRG 577, DRG 578
- MDC 10 — Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders: DRG 622, DRG 623, DRG 624
- MDC 21 — Skin Grafts for Injuries: DRG 904, DRG 905
- MDC 22 — Extensive Burns or Full Thickness Burns with MV >96 Hours: DRG 927
- MDC 22 — Full Thickness Burn: DRG 928, DRG 929
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0HR2XJ3 — Replacement of Right Ear Skin with Synthetic Substitute, Full Thickness, External Approach, 0HR3XJ3 — Replacement of Left Ear Skin with Synthetic Substitute, Full Thickness, External Approach, 0HR4XJ3 — Replacement of Neck Skin with Synthetic Substitute, Full Thickness, External Approach, 0HR5XJ3 — Replacement of Chest Skin with Synthetic Substitute, Full Thickness, External Approach, 0HR7XJ3 — Replacement of Abdomen Skin with Synthetic Substitute, Full Thickness, External Approach, 0HR8XJ3 — Replacement of Buttock Skin with Synthetic Substitute, Full Thickness, External Approach, 0HR9XJ3 — Replacement of Perineum Skin with Synthetic Substitute, Full Thickness, External Approach, 0HRAXJ3 — Replacement of Inguinal Skin with Synthetic Substitute, Full Thickness, External Approach, +14 more
Same operation — other Device
Same table and root operation, differing only in the device character.
0HR6X73 — Replacement of Back Skin with Autologous Tissue Substitute, Full Thickness, External Approach, 0HR6XK3 — Replacement of Back Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0HR6XJ4 — Replacement of Back Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HR6XJZ — Replacement of Back Skin with Synthetic Substitute, External Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Skin graft (Skin and Breast Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0HX0XZZ — Transfer Scalp Skin, External Approach, 0HX1XZZ — Transfer Face Skin, External Approach, 0HX2XZZ — Transfer Right Ear Skin, External Approach, 0HX3XZZ — Transfer Left Ear Skin, External Approach, 0HX4XZZ — Transfer Neck Skin, External Approach, 0HX5XZZ — Transfer Chest Skin, External Approach, 0HX6XZZ — Transfer Back Skin, External Approach, 0HX7XZZ — Transfer Abdomen Skin, External Approach, 0HX8XZZ — Transfer Buttock Skin, External Approach, 0HX9XZZ — Transfer Perineum Skin, External Approach, 0HXAXZZ — Transfer Inguinal Skin, External Approach, 0HXBXZZ — Transfer Right Upper Arm Skin, External Approach, 0HXCXZZ — Transfer Left Upper Arm Skin, External Approach, 0HXDXZZ — Transfer Right Lower Arm Skin, External Approach, 0HXEXZZ — Transfer Left Lower Arm Skin, External Approach, 0HXFXZZ — Transfer Right Hand Skin, External Approach, 0HXGXZZ — Transfer Left Hand Skin, External Approach, 0HXHXZZ — Transfer Right Upper Leg Skin, External Approach, 0HXJXZZ — Transfer Left Upper Leg Skin, External Approach, 0HXKXZZ — Transfer Right Lower Leg Skin, External Approach, +12 more
Contextual Map
Every relationship of 0HR6XJ3 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.
Run 0HR6XJ3 with these 5 related codes in Claim Check
PCS table
- 0HR[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Skin and Breast — Body System: Skin and Breast[Body System]: “Skin and Breast”— CMS ICD-10-PCS tables
- Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables
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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES[MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 19 more
Clinical classification (CCSR)
- SKB007 — Skin graft[CCSR category]: “Skin graft — Skin and Breast Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
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.”— CMS MS-DRG Definitions Manual · FY2026
- 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.”— CMS MS-DRG Definitions Manual · FY2026
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 31011 more
Nearest codes
- 0HR0XJ3 — Replacement of Scalp Skin with Synthetic Substitute, Full Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0HR1XJ3 — Replacement of Face Skin with Synthetic Substitute, Full Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0HR2XJ3 — Replacement of Right Ear Skin with Synthetic Substitute, Full Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0HR3XJ3 — Replacement of Left Ear Skin with Synthetic Substitute, Full Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0HR4XJ3 — Replacement of Neck Skin with Synthetic Substitute, Full Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0HR5XJ3 — Replacement of Chest Skin with Synthetic Substitute, Full Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0HR6X73 — Replacement of Back Skin with Autologous Tissue Substitute, Full Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0HR6XJ4 — Replacement of Back Skin with Synthetic Substitute, Partial Thickness, External Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels