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Inpatient Procedure Code

0HRXXJZ ICD-10-PCS Code: Replacement of Left Nipple with Synthetic Substitute, External Approach

Replacement of Left Nipple with Synth 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 PartX

Nipple, Left

5
ApproachX

External

6
DeviceJ

Synthetic 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 8 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.

0HRKXJZ — Replacement of Right Lower Leg Skin with Synthetic Substitute, External Approach, 0HRLXJZ — Replacement of Left Lower Leg Skin with Synthetic Substitute, External Approach, 0HRMXJZ — Replacement of Right Foot Skin with Synthetic Substitute, External Approach, 0HRNXJZ — Replacement of Left Foot Skin with Synthetic Substitute, External Approach, 0HRQXJZ — Replacement of Finger Nail with Synthetic Substitute, External Approach, 0HRRXJZ — Replacement of Toe Nail with Synthetic Substitute, External Approach, 0HRSXJZ — Replacement of Hair with Synthetic Substitute, External Approach, 0HRWXJZ — Replacement of Right Nipple with Synthetic Substitute, External Approach, +19 more

Same operation — other Approach

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

0HRX0JZ — Replacement of Left Nipple with Synthetic Substitute, Open Approach, 0HRX3JZ — Replacement of Left Nipple with Synthetic Substitute, Percutaneous Approach

Same operation — other Device

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

0HRXX7Z — Replacement of Left Nipple with Autologous Tissue Substitute, External Approach, 0HRXXKZ — Replacement of Left Nipple 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 Breast reconstruction (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.

0HPU77Z — Removal of Autologous Tissue Substitute from Left Breast, Via Natural or Artificial Opening, 0HPU7JZ — Removal of Synthetic Substitute from Left Breast, Via Natural or Artificial Opening, 0HPU7KZ — Removal of Nonautologous Tissue Substitute from Left Breast, Via Natural or Artificial Opening, 0HPU7NZ — Removal of Tissue Expander from Left Breast, Via Natural or Artificial Opening, 0HPU7YZ — Removal of Other Device from Left Breast, Via Natural or Artificial Opening, 0HPU87Z — Removal of Autologous Tissue Substitute from Left Breast, Via Natural or Artificial Opening Endoscopic, 0HPU8JZ — Removal of Synthetic Substitute from Left Breast, Via Natural or Artificial Opening Endoscopic, 0HPU8KZ — Removal of Nonautologous Tissue Substitute from Left Breast, Via Natural or Artificial Opening Endoscopic, 0HPU8NZ — Removal of Tissue Expander from Left Breast, Via Natural or Artificial Opening Endoscopic, 0HPU8YZ — Removal of Other Device from Left Breast, Via Natural or Artificial Opening Endoscopic, 0HUT07Z — Supplement Right Breast with Autologous Tissue Substitute, Open Approach, 0HUT0JZ — Supplement Right Breast with Synthetic Substitute, Open Approach, 0HUT0KZ — Supplement Right Breast with Nonautologous Tissue Substitute, Open Approach, 0HUT37Z — Supplement Right Breast with Autologous Tissue Substitute, Percutaneous Approach, 0HUT3JZ — Supplement Right Breast with Synthetic Substitute, Percutaneous Approach, 0HUT3KZ — Supplement Right Breast with Nonautologous Tissue Substitute, Percutaneous Approach, 0HUT77Z — Supplement Right Breast with Autologous Tissue Substitute, Via Natural or Artificial Opening, 0HUT7JZ — Supplement Right Breast with Synthetic Substitute, Via Natural or Artificial Opening, 0HUT7KZ — Supplement Right Breast with Nonautologous Tissue Substitute, Via Natural or Artificial Opening, 0HUT87Z — Supplement Right Breast with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic, +156 more

Contextual Map

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

PCS table

MS-DRG participation

Clinical classification (CCSR)

  • SKB004 — Breast reconstruction[CCSR category]: “Breast reconstruction — 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