0NRR4KZ ICD-10-PCS Code: Replacement of Maxilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Replacement of Maxilla with Nonaut Sub, Perc Endo 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 SystemN | Head and Facial Bones |
| 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 | Maxilla |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceK | Nonautologous Tissue 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 9 MS-DRGs:
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- 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.
0NRL4KZ — Replacement of Left Palatine Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRM4KZ — Replacement of Right Zygomatic Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRN4KZ — Replacement of Left Zygomatic Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRP4KZ — Replacement of Right Orbit with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRQ4KZ — Replacement of Left Orbit with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRT4KZ — Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRV4KZ — Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRX4KZ — Replacement of Hyoid Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, +14 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0NRR0KZ — Replacement of Maxilla with Nonautologous Tissue Substitute, Open Approach, 0NRR3KZ — Replacement of Maxilla with Nonautologous Tissue Substitute, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0NRR47Z — Replacement of Maxilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0NRR4JZ — Replacement of Maxilla with Synthetic Substitute, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Musculoskeletal device procedures, NEC (Musculoskeletal, Subcutaneous Tissue, and Fascia 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.
+4808 more
Contextual Map
Every relationship of 0NRR4KZ 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 0NRR4KZ with these 5 related codes in Claim Check
PCS table
- 0NR[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Head and Facial Bones — Body System: Head and Facial Bones[Body System]: “Head and Facial Bones”— CMS ICD-10-PCS tables
- Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables
MS-DRG participation (9)
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 1 more
Clinical classification (CCSR)
- MST029 — Musculoskeletal device procedures, NEC[CCSR category]: “Musculoskeletal device procedures, NEC — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (16604)
- 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.”— CMS MS-DRG Definitions Manual · FY2027
- 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 · FY2027
- A18.6 — Tuberculosis of (inner) (middle) ear[Same-MDC diagnosis]: “Tuberculosis of (inner) (middle) ear — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A36.0 — Pharyngeal diphtheria[Same-MDC diagnosis]: “Pharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A36.1 — Nasopharyngeal diphtheria[Same-MDC diagnosis]: “Nasopharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A36.2 — Laryngeal diphtheria[Same-MDC diagnosis]: “Laryngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A54.5 — Gonococcal pharyngitis[Same-MDC diagnosis]: “Gonococcal pharyngitis — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 16599 more
Nearest codes
- 0NR04KZ — Replacement of Skull with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0NR14KZ — Replacement of Frontal Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0NR34KZ — Replacement of Right Parietal Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0NR44KZ — Replacement of Left Parietal Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0NR54KZ — Replacement of Right Temporal Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0NR64KZ — Replacement of Left Temporal Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0NR74KZ — Replacement of Occipital Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0NRB4KZ — Replacement of Nasal Bone with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Description revised[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Description revisedReplacement of Right Maxilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach → Replacement of Maxilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic ApproachFY2018 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