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Inpatient Procedure Code

0HRAXJZ ICD-10-PCS Code: Replacement of Inguinal Skin with Synthetic Substitute, External Approach

Replacement of Inguinal Skin with Synth Sub, Extern Approach

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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 PartA

Skin, Inguinal

5
ApproachX

External

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2027)

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 23 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.

0HR6XJZ — Replacement of Back Skin with Synthetic Substitute, External Approach, 0HR7XJZ — Replacement of Abdomen Skin with Synthetic Substitute, External Approach, 0HR8XJZ — Replacement of Buttock Skin with Synthetic Substitute, External Approach, 0HR9XJZ — Replacement of Perineum Skin with Synthetic Substitute, External Approach, 0HRBXJZ — Replacement of Right Upper Arm Skin with Synthetic Substitute, External Approach, 0HRCXJZ — Replacement of Left Upper Arm Skin with Synthetic Substitute, External Approach, 0HRDXJZ — Replacement of Right Lower Arm Skin with Synthetic Substitute, External Approach, 0HREXJZ — Replacement of Left Lower Arm Skin with Synthetic Substitute, External Approach, +19 more

Same operation — other Qualifier

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

0HRAXJ3 — Replacement of Inguinal Skin with Synthetic Substitute, Full Thickness, External Approach, 0HRAXJ4 — Replacement of Inguinal Skin with Synthetic Substitute, Partial Thickness, 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 0HRAXJZ 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 0HRAXJZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (23)

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 (33443)

  • 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 · FY2027
  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — 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 · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • and 33438 more

Nearest codes

Change history

Change history

  • FY2018 — October 1, 2017
    Description revised
    Replacement of Genitalia Skin with Synthetic Substitute, External Approach → Replacement of Inguinal Skin with Synthetic Substitute, External Approach
    FY2018 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources