XHR5XGA ICD-10-PCS Code: Replacement of Left Upper Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10

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 1 MS-DRG:

• MDC PRE — Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies: DRG 018

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.

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, 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

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.

0HX3XZZ — Transfer Left Ear Skin, External Approach, 0HX4XZZ — Transfer Neck Skin, External Approach, 0HX5XZZ — Transfer Chest Skin, External Approach, 0HX6XZZ — Transfer Back Skin, External Approach, 0HX7XZZ — Transfer Abdomen Skin, External Approach, 0HX8XZZ — Transfer Buttock Skin, External Approach, 0HX9XZZ — Transfer Perineum Skin, External Approach, 0HXAXZZ — Transfer Inguinal Skin, External Approach, 0HXBXZZ — Transfer Right Upper Arm Skin, External Approach, 0HXCXZZ — Transfer Left Upper Arm Skin, External Approach, 0HXDXZZ — Transfer Right Lower Arm Skin, External Approach, 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, 0HXKXZZ — Transfer Right Lower 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, +190 more

Contextual Map

Every relationship of XHR5XGA 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 XHR5XGA with these 5 related codes in Claim Check

PCS table

• XHR[PCS table]— CMS ICD-10-PCS tables
• New Technology — Section: New Technology[Section]: “New Technology”— CMS ICD-10-PCS tables
• Skin, Subcutaneous Tissue, Fascia and Breast — Body System: Skin, Subcutaneous Tissue, Fascia and Breast[Body System]: “Skin, Subcutaneous Tissue, Fascia and Breast”— CMS ICD-10-PCS tables
• Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 018 — CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES[MS-DRG]: “CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES — Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies (MDC PRE)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• SKB007 — Skin graft[CCSR category]: “Skin graft — Skin and Breast Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (1333)

• Pre-MDC[MDC crossing]: “Pre-MDC — 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
• A36.0 — Pharyngeal diphtheria[Same-MDC diagnosis]: “Pharyngeal diphtheria — grouped in MDC PRE, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A36.1 — Nasopharyngeal diphtheria[Same-MDC diagnosis]: “Nasopharyngeal diphtheria — grouped in MDC PRE, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A36.2 — Laryngeal diphtheria[Same-MDC diagnosis]: “Laryngeal diphtheria — grouped in MDC PRE, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A54.5 — Gonococcal pharyngitis[Same-MDC diagnosis]: “Gonococcal pharyngitis — grouped in MDC PRE, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A56.4 — Chlamydial infection of pharynx[Same-MDC diagnosis]: “Chlamydial infection of pharynx — grouped in MDC PRE, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 1328 more

Nearest codes

• XHR0XGA — Replacement of Head and Neck Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10[One axis away]— CMS ICD-10-PCS tables
• XHR1XGA — Replacement of Chest Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10[One axis away]— CMS ICD-10-PCS tables
• XHR2XGA — Replacement of Abdomen Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10[One axis away]— CMS ICD-10-PCS tables
• XHR3XGA — Replacement of Back Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10[One axis away]— CMS ICD-10-PCS tables
• XHR4XGA — Replacement of Right Upper Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10[One axis away]— CMS ICD-10-PCS tables
• XHR6XGA — Replacement of Right Lower Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10[One axis away]— CMS ICD-10-PCS tables
• XHR7XGA — Replacement of Left Lower Extremity Skin with Prademagene Zamikeracel, Genetically Engineered Autologous Cell Therapy, External Approach, New Technology Group 10[One axis away]— CMS ICD-10-PCS tables