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Inpatient Procedure Code

0HR8XJ4 ICD-10-PCS Code: Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach

Replace Buttock Skin w Synth Sub, Part 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 Part8

Skin, Buttock

5
ApproachX

External

6
DeviceJ

Synthetic Substitute

7
Qualifier4

Partial 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:

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.

0HR4XJ4 — Replacement of Neck Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HR5XJ4 — Replacement of Chest Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HR6XJ4 — Replacement of Back Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HR7XJ4 — Replacement of Abdomen Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HR9XJ4 — Replacement of Perineum Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HRAXJ4 — Replacement of Inguinal Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HRBXJ4 — Replacement of Right Upper Arm Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HRCXJ4 — Replacement of Left Upper Arm Skin with Synthetic Substitute, Partial Thickness, External Approach, +14 more

Same operation — other Device

Same table and root operation, differing only in the device character.

0HR8X74 — Replacement of Buttock Skin with Autologous Tissue Substitute, Partial Thickness, External Approach, 0HR8XK4 — Replacement of Buttock Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

0HR8XJ3 — Replacement of Buttock Skin with Synthetic Substitute, Full Thickness, External Approach, 0HR8XJZ — Replacement of Buttock 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 0HR8XJ4 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

MS-DRG participation (27)

Clinical classification (CCSR)

MDC crossing · diagnoses (31016)

Nearest codes

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.