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Inpatient Procedure Code

0HRRX7Z ICD-10-PCS Code: Replacement of Toe Nail with Autologous Tissue Substitute, External Approach

Replacement of Toe Nail with Autol Sub, Extern Approach

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 PartR

Toe Nail

5
ApproachX

External

6
Device7

Autologous Tissue Substitute

7
QualifierZ

No Qualifier

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 9 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.

0HRQX7Z — Replacement of Finger Nail with Autologous Tissue Substitute, External Approach, 0HRSX7Z — Replacement of Hair with Autologous Tissue Substitute, External Approach, 0HRWX7Z — Replacement of Right Nipple with Autologous Tissue Substitute, External Approach, 0HRXX7Z — Replacement of Left Nipple with Autologous Tissue Substitute, External Approach

Same operation — other Device

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

0HRRXJZ — Replacement of Toe Nail with Synthetic Substitute, External Approach, 0HRRXKZ — Replacement of Toe Nail with Nonautologous Tissue 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 Nail procedures (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.

0HPQX0Z — Removal of Drainage Device from Finger Nail, External Approach, 0HPQX7Z — Removal of Autologous Tissue Substitute from Finger Nail, External Approach, 0HPQXJZ — Removal of Synthetic Substitute from Finger Nail, External Approach, 0HPQXKZ — Removal of Nonautologous Tissue Substitute from Finger Nail, External Approach, 0HPRX0Z — Removal of Drainage Device from Toe Nail, External Approach, 0HPRX7Z — Removal of Autologous Tissue Substitute from Toe Nail, External Approach, 0HPRXJZ — Removal of Synthetic Substitute from Toe Nail, External Approach, 0HPRXKZ — Removal of Nonautologous Tissue Substitute from Toe Nail, External Approach, 0HQQXZZ — Repair Finger Nail, External Approach, 0HQRXZZ — Repair Toe Nail, External Approach, 0HTQXZZ — Resection of Finger Nail, External Approach, 0HTRXZZ — Resection of Toe Nail, External Approach, 0HWQX0Z — Revision of Drainage Device in Finger Nail, External Approach, 0HWQX7Z — Revision of Autologous Tissue Substitute in Finger Nail, External Approach, 0HWQXJZ — Revision of Synthetic Substitute in Finger Nail, External Approach, 0HWQXKZ — Revision of Nonautologous Tissue Substitute in Finger Nail, External Approach, 0HWRX0Z — Revision of Drainage Device in Toe Nail, External Approach, 0HWRX7Z — Revision of Autologous Tissue Substitute in Toe Nail, External Approach, 0HWRXJZ — Revision of Synthetic Substitute in Toe Nail, External Approach, 0HWRXKZ — Revision of Nonautologous Tissue Substitute in Toe Nail, External Approach, +20 more

Contextual Map

Every relationship of 0HRRX7Z 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 0HRRX7Z with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

  • SKB009 — Nail procedures[CCSR category]: “Nail procedures — Skin and Breast Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (20563)

  • MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast[MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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
  • A06.7 — Cutaneous amebiasis[Same-MDC diagnosis]: “Cutaneous amebiasis — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A18.4 — Tuberculosis of skin and subcutaneous tissue[Same-MDC diagnosis]: “Tuberculosis of skin and subcutaneous tissue — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A22.0 — Cutaneous anthrax[Same-MDC diagnosis]: “Cutaneous anthrax — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A31.1 — Cutaneous mycobacterial infection[Same-MDC diagnosis]: “Cutaneous mycobacterial infection — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A36.3 — Cutaneous diphtheria[Same-MDC diagnosis]: “Cutaneous diphtheria — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • and 20558 more

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.

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