0HXKXZZ ICD-10-PCS Code: Transfer Right Lower Leg Skin, External 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemH | Skin and Breast |
| 3 | Root OperationX | Transfer Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part |
| 4 | Body PartK | Skin, Right Lower Leg |
| 5 | ApproachX | External |
| 6 | DeviceZ | No Device |
| 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 30 MS-DRGs:
- MDC 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- 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.
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, 0HXLXZZ — Transfer Left Lower Leg Skin, External Approach, 0HXMXZZ — Transfer Right Foot Skin, External Approach, 0HXNXZZ — Transfer Left Foot Skin, External Approach, +14 more
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.
0HRNX72 — Replacement of Left Foot Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach, 0HRNX73 — Replacement of Left Foot Skin with Autologous Tissue Substitute, Full Thickness, External Approach, 0HRNX74 — Replacement of Left Foot Skin with Autologous Tissue Substitute, Partial Thickness, External Approach, 0HRNXJ3 — Replacement of Left Foot Skin with Synthetic Substitute, Full Thickness, External Approach, 0HRNXJ4 — Replacement of Left Foot Skin with Synthetic Substitute, Partial Thickness, External Approach, 0HRNXJZ — Replacement of Left Foot Skin with Synthetic Substitute, External Approach, 0HRNXK3 — Replacement of Left Foot Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach, 0HRNXK4 — Replacement of Left Foot Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach, 0HRSX7Z — Replacement of Hair with Autologous Tissue Substitute, External Approach, 0HRSXJZ — Replacement of Hair with Synthetic Substitute, External Approach, 0HRSXKZ — Replacement of Hair with Nonautologous Tissue Substitute, External Approach, XHR0XGA — Replacement of Head and Neck Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHR1XGA — Replacement of Chest Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHR2XGA — Replacement of Abdomen Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHR3XGA — Replacement of Back Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHR4XGA — Replacement of Right Upper Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHR5XGA — Replacement of Left Upper Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHR6XGA — Replacement of Right Lower Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHR7XGA — Replacement of Left Lower Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10, XHRPXF7 — Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7, +176 more
Contextual Map
Every relationship of 0HXKXZZ 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
- 0HX[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Skin and Breast — Body System: Skin and Breast[Body System]: “Skin and Breast”
- Transfer — Operation: Transfer[Operation]: “Transfer”
MS-DRG participation (30)
- 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)”
- 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)”
- 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)”
- DRG 143 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”
- DRG 144 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”
- DRG 145 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”
- DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES[MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”
- 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)”
- and 22 more
Clinical classification (CCSR)
- SKB007 — Skin graft[CCSR category]: “Skin graft — Skin and Breast Procedures”
MDC crossing · diagnoses (7119)
- 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.”
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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.”
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0HXKXZZ + A02.21 together
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0HXKXZZ + A06.6 together
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0HXKXZZ + A17.0 together
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0HXKXZZ + A17.1 together
- 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.” · Check 0HXKXZZ + A17.81 together
- and 7114 more
Nearest codes
- 0HX0XZZ — Transfer Scalp Skin, External Approach[One axis away]
- 0HX1XZZ — Transfer Face Skin, External Approach[One axis away]
- 0HX2XZZ — Transfer Right Ear Skin, External Approach[One axis away]
- 0HX3XZZ — Transfer Left Ear Skin, External Approach[One axis away]
- 0HX4XZZ — Transfer Neck Skin, External Approach[One axis away]
- 0HX5XZZ — Transfer Chest Skin, External Approach[One axis away]
- 0HX6XZZ — Transfer Back Skin, External Approach[One axis away]
- 0HX7XZZ — Transfer Abdomen Skin, External Approach[One axis away]
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.