0X0D0ZZ ICD-10-PCS Code: Alteration of Right Lower Arm, Open 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 SystemX | Anatomical Regions, Upper Extremities |
| 3 | Root Operation0 | Alteration Modifying the anatomic structure of a body part without affecting the function of the body part |
| 4 | Body PartD | Lower Arm, Right |
| 5 | Approach0 | Open |
| 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 6 MS-DRGs:
- MDC 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
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.
0X070ZZ — Alteration of Left Upper Extremity, Open Approach, 0X080ZZ — Alteration of Right Upper Arm, Open Approach, 0X090ZZ — Alteration of Left Upper Arm, Open Approach, 0X0B0ZZ — Alteration of Right Elbow Region, Open Approach, 0X0C0ZZ — Alteration of Left Elbow Region, Open Approach, 0X0F0ZZ — Alteration of Left Lower Arm, Open Approach, 0X0G0ZZ — Alteration of Right Wrist Region, Open Approach, 0X0H0ZZ — Alteration of Left Wrist Region, Open Approach, +5 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0X0D3ZZ — Alteration of Right Lower Arm, Percutaneous Approach, 0X0D4ZZ — Alteration of Right Lower Arm, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0X0D07Z — Alteration of Right Lower Arm with Autologous Tissue Substitute, Open Approach, 0X0D0JZ — Alteration of Right Lower Arm with Synthetic Substitute, Open Approach, 0X0D0KZ — Alteration of Right Lower Arm with Nonautologous Tissue Substitute, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Cosmetic procedures (General Region 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.
0W0N0KZ — Alteration of Female Perineum with Nonautologous Tissue Substitute, Open Approach, 0W0N0ZZ — Alteration of Female Perineum, Open Approach, 0W0N37Z — Alteration of Female Perineum with Autologous Tissue Substitute, Percutaneous Approach, 0W0N3JZ — Alteration of Female Perineum with Synthetic Substitute, Percutaneous Approach, 0W0N3KZ — Alteration of Female Perineum with Nonautologous Tissue Substitute, Percutaneous Approach, 0W0N3ZZ — Alteration of Female Perineum, Percutaneous Approach, 0W0N47Z — Alteration of Female Perineum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0W0N4JZ — Alteration of Female Perineum with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W0N4KZ — Alteration of Female Perineum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0W0N4ZZ — Alteration of Female Perineum, Percutaneous Endoscopic Approach, 0Y0007Z — Alteration of Right Buttock with Autologous Tissue Substitute, Open Approach, 0Y000JZ — Alteration of Right Buttock with Synthetic Substitute, Open Approach, 0Y000KZ — Alteration of Right Buttock with Nonautologous Tissue Substitute, Open Approach, 0Y000ZZ — Alteration of Right Buttock, Open Approach, 0Y0037Z — Alteration of Right Buttock with Autologous Tissue Substitute, Percutaneous Approach, 0Y003JZ — Alteration of Right Buttock with Synthetic Substitute, Percutaneous Approach, 0Y003KZ — Alteration of Right Buttock with Nonautologous Tissue Substitute, Percutaneous Approach, 0Y003ZZ — Alteration of Right Buttock, Percutaneous Approach, 0Y0047Z — Alteration of Right Buttock with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0Y004JZ — Alteration of Right Buttock with Synthetic Substitute, Percutaneous Endoscopic Approach, +430 more
Contextual Map
Every relationship of 0X0D0ZZ 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
- 0X0[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Anatomical Regions, Upper Extremities — Body System: Anatomical Regions, Upper Extremities[Body System]: “Anatomical Regions, Upper Extremities”
- Alteration — Operation: Alteration[Operation]: “Alteration”
MS-DRG participation
- DRG 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
- DRG 580 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
- DRG 581 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
- 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)”
- 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)”
- 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)”
Clinical classification (CCSR)
- GNR001 — Cosmetic procedures[CCSR category]: “Cosmetic procedures — General Region Procedures”
MDC crossing · diagnoses (11835)
- 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.”
- 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.”
- A06.7 — Cutaneous amebiasis[Same-MDC diagnosis]: “Cutaneous amebiasis — grouped in MDC 09, the diagnosis side of this code's crossing.” · Check 0X0D0ZZ + A06.7 together
- 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.” · Check 0X0D0ZZ + A18.4 together
- A22.0 — Cutaneous anthrax[Same-MDC diagnosis]: “Cutaneous anthrax — grouped in MDC 09, the diagnosis side of this code's crossing.” · Check 0X0D0ZZ + A22.0 together
- A31.1 — Cutaneous mycobacterial infection[Same-MDC diagnosis]: “Cutaneous mycobacterial infection — grouped in MDC 09, the diagnosis side of this code's crossing.” · Check 0X0D0ZZ + A31.1 together
- A36.3 — Cutaneous diphtheria[Same-MDC diagnosis]: “Cutaneous diphtheria — grouped in MDC 09, the diagnosis side of this code's crossing.” · Check 0X0D0ZZ + A36.3 together
- and 11830 more
Nearest codes
- 0X020ZZ — Alteration of Right Shoulder Region, Open Approach[One axis away]
- 0X030ZZ — Alteration of Left Shoulder Region, Open Approach[One axis away]
- 0X040ZZ — Alteration of Right Axilla, Open Approach[One axis away]
- 0X050ZZ — Alteration of Left Axilla, Open Approach[One axis away]
- 0X060ZZ — Alteration of Right Upper Extremity, Open Approach[One axis away]
- 0X070ZZ — Alteration of Left Upper Extremity, Open Approach[One axis away]
- 0X080ZZ — Alteration of Right Upper Arm, Open Approach[One axis away]
- 0X090ZZ — Alteration of Left Upper Arm, Open 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.