ICD 10 Code `0HRGXJZ`

Replacement of Left Hand Skin with Synthetic Substitute, External Approach
“Replacement of L Hand Skin with Synth Sub, Extern Approach” for short

2025 Billable Code

0HRGXJZ is a valid billable ICD-10 procedure code for Replacement of Left Hand Skin with Synthetic Substitute, External Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Replacement involves:
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. The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

External approach involves:
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

Replacement includes:

Total hip replacement, bone graft, free skin graft

Synthetic Substitute device includes:

AbioCor(R) Total Replacement Heart
AMPLATZER(R) Muscular VSD Occluder
Annuloplasty ring
Bard(R) Composix(R) (E/X)(LP) mesh
Bard(R) Composix(R) Kugel(R) patch
Bard(R) Dulex(tm) mesh
Bard(R) Ventralex(tm) hernia patch
Barricaid(R) Annular Closure Device (ACD)
BRYAN(R) Cervical Disc System
Corvia IASD(R)
Ex-PRESS(tm) mini glaucoma shunt
Flexible Composite Mesh
GORE(R) DUALMESH(R)
Holter valve ventricular shunt
IASD(R) (InterAtrial Shunt Device), Corvia
InterAtrial Shunt Device IASD(R), Corvia
LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System
MitraClip valve repair system
Nitinol framed polymer mesh
Open Pivot (mechanical) valve
Open Pivot Aortic Valve Graft (AVG)
Partially absorbable mesh
PHYSIOMESH(tm) Flexible Composite Mesh
Polymethylmethacrylate (PMMA)
Polypropylene mesh
PRESTIGE(R) Cervical Disc
PROCEED(tm) Ventral Patch
Prodisc-C
Prodisc-L
PROLENE Polypropylene Hernia System (PHS)
Rebound HRD(R) (Hernia Repair Device)
SynCardia Total Artificial Heart
Total artificial (replacement) heart
ULTRAPRO Hernia System (UHS)
ULTRAPRO Partially Absorbable Lightweight Mesh
ULTRAPRO Plug
V-Wave Interatrial Shunt System
Ventrio(tm) Hernia Patch
Zimmer(R) NexGen(R) LPS Mobile Bearing Knee
Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

MS-DRG - Medicare Severity-Diagnosis Related Group

MDC 01 Diseases & Disorders of the Nervous System
Peripheral and Cranial Nerve and Other Nervous System Procedures
- DRG 040 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
- DRG 041 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
- DRG 042 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
MDC 05 Diseases & Disorders of the Circulatory System
Other Circulatory O.R. Procedures
- DRG 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
- DRG 513 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
- DRG 514 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
MDC 09 Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast
Skin Graft
- DRG 573 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
- DRG 574 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
- DRG 575 - SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
- DRG 576 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
- DRG 577 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
- DRG 578 - SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
- DRG 622 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
- DRG 623 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
- DRG 624 - SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
Skin Grafts for Injuries
- DRG 904 - SKIN GRAFTS FOR INJURIES WITH CC/MCC
- DRG 905 - SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
MDC 22 Burns
Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft
- DRG 927 - EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
MDC 22 Burns
Full Thickness Burn with Skin Graft or Inhalation Injury
- DRG 928 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
- DRG 929 - FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC
MDC 24 Multiple Significant Trauma
Other Procedures for Multiple Significant Trauma
- DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
- DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
- DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 0HRGXJZ — See Table View

1: Section	`0`	Medical and Surgical
2: Body System	`H`	Skin and Breast
3: Root Operation	`R`	Replacement
4: Body Part	`G`	Skin, Left Hand
5: Approach	`X`	External
6: Device	`J`	Synthetic Substitute
7: Qualifier	`Z`	No Qualifier

See also

The ICD-10-PCS Index of common procedure terms.
Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.

ICD 10 Code 0HRGXJZ

ICD 10 Code `0HRGXJZ`