ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 00R1 includes procedures performed to replace biological or synthetic material that takes the place and/or function of all or part of the cerebral meninges in the central nervous system and cranial nerves. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the cerebral meninges is surgically replaced with grafts, dural substitutes, or other implantable materials. Accurate coding within the ICD-10-PCS 00R1 group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and supports clinical documentation accuracy.

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Cerebral Meninges Replacement Procedure Overview

This procedure group covers replacement of the cerebral meninges within the central nervous system and cranial nerves body system. Procedures in this group involve putting in or on biological or synthetic material that takes the place and/or function of all or part of the cerebral meninges. Accurate coding of these replacement procedures matters for inpatient reimbursement because it documents the specific anatomic target and operation performed, which affects case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
0	Body System	Central Nervous System and Cranial Nerves
R	Operation	Replacement
1	Body Part	Cerebral Meninges

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ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview

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Cerebral Meninges Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
0	Body System	Central Nervous System and Cranial Nerves
R	Operation	Replacement
1	Body Part	Cerebral Meninges

When to Use

Use a code from this group when a surgical procedure replaces all or part of the cerebral meninges with graft material, dural substitute, or an implant that assumes meningeal function. These codes apply in inpatient settings where documentation confirms the replacement operation on the cerebral meninges has been performed.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
00R107Z	Replacement of Cerebral Meninges with Autologous Tissue Substitute, Open Approach
00R10JZ	Replacement of Cerebral Meninges with Synthetic Substitute, Open Approach
00R10KZ	Replacement of Cerebral Meninges with Nonautologous Tissue Substitute, Open Approach
00R147Z	Replacement of Cerebral Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
00R14JZ	Replacement of Cerebral Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach
00R14KZ	Replacement of Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
955	Craniotomy for Multiple Significant Trauma

Typical Clinical Scenarios

A 45-year-old patient presents emergently after a motor vehicle collision with a depressed temporal bone fracture and radiographic evidence of dural tear with cerebrospinal fluid leak and exposed brain. During craniotomy repair the neurosurgeon excises the damaged dura and replaces the cerebral meninges with an autologous dural graft harvested from the patient to restore meningeal integrity and prevent persistent CSF leakage and infection. Open surgical replacement of the meninges is performed given the traumatic defect and need for durable closure. Typical codes: 00R107Z
A 62-year-old patient with a previously treated parasagittal meningioma undergoes an elective surgical resection during which a planned portion of the cerebral meninges is removed and reconstructed using a synthetic dural substitute to achieve watertight closure and reduce postoperative CSF leak risk. The procedure is scheduled, with an open cranial approach and implantation of the synthetic material to replace the excised meningeal tissue. Typical codes: 00R10JZ
A 50-year-old patient returns for reoperation for persistent pseudomeningocele and recurrent CSF collection after a prior dural repair with autologous graft; intraoperative findings reveal inadequate prior graft incorporation and necrotic graft edges. The surgeon removes the failed tissue and replaces the cerebral meninges with a nonautologous (allogeneic) dural substitute via an open approach to reestablish durable meningeal function and resolve the complication. Typical codes: 00R10KZ

ICD-10-PCS Code For Dura Mater: Procedure Code Group Overview

00R6-CEREBRAL-VENTRICLE-REPLACEMENT

ICD-10-PCS Code For Cerebral Ventricle: Procedure Code Group Overview

00RF-OLFACTORY-NERVE-REPLACEMENT

ICD-10-PCS Code For Olfactory Nerve: Procedure Code Group Overview

00RG-OPTIC-NERVE-REPLACEMENT

ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview

00RH-OCULOMOTOR-NERVE-REPLACEMENT

ICD-10-PCS Code For Oculomotor Nerve: Procedure Code Group Overview

00RJ-TROCHLEAR-NERVE-REPLACEMENT

ICD-10-PCS Code For Trochlear Nerve: Procedure Code Group Overview

00RK-TRIGEMINAL-NERVE-REPLACEMENT

ICD-10-PCS Code For Trigeminal Nerve: Procedure Code Group Overview

00RL-ABDUCENS-NERVE-REPLACEMENT

ICD-10-PCS Code For Abducens Nerve: Procedure Code Group Overview

00RM-FACIAL-NERVE-REPLACEMENT

ICD-10-PCS Code For Facial Nerve: Procedure Code Group Overview

00RN-ACOUSTIC-NERVE-REPLACEMENT

ICD-10-PCS Code For Acoustic Nerve: Procedure Code Group Overview

Showing 1–10 of 15

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
00R107Z	Replacement of Cerebral Meninges with Autologous Tissue Substitute, Open Approach
00R10JZ	Replacement of Cerebral Meninges with Synthetic Substitute, Open Approach
00R10KZ	Replacement of Cerebral Meninges with Nonautologous Tissue Substitute, Open Approach
00R147Z	Replacement of Cerebral Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
00R14JZ	Replacement of Cerebral Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach
00R14KZ	Replacement of Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
955	Craniotomy for Multiple Significant Trauma

Typical Clinical Scenarios

A 45-year-old patient presents emergently after a motor vehicle collision with a depressed temporal bone fracture and radiographic evidence of dural tear with cerebrospinal fluid leak and exposed brain. During craniotomy repair the neurosurgeon excises the damaged dura and replaces the cerebral meninges with an autologous dural graft harvested from the patient to restore meningeal integrity and prevent persistent CSF leakage and infection. Open surgical replacement of the meninges is performed given the traumatic defect and need for durable closure. Typical codes: 00R107Z
A 62-year-old patient with a previously treated parasagittal meningioma undergoes an elective surgical resection during which a planned portion of the cerebral meninges is removed and reconstructed using a synthetic dural substitute to achieve watertight closure and reduce postoperative CSF leak risk. The procedure is scheduled, with an open cranial approach and implantation of the synthetic material to replace the excised meningeal tissue. Typical codes: 00R10JZ
A 50-year-old patient returns for reoperation for persistent pseudomeningocele and recurrent CSF collection after a prior dural repair with autologous graft; intraoperative findings reveal inadequate prior graft incorporation and necrotic graft edges. The surgeon removes the failed tissue and replaces the cerebral meninges with a nonautologous (allogeneic) dural substitute via an open approach to reestablish durable meningeal function and resolve the complication. Typical codes: 00R10KZ

ICD-10-PCS Code For Dura Mater: Procedure Code Group Overview

00R6-CEREBRAL-VENTRICLE-REPLACEMENT

ICD-10-PCS Code For Cerebral Ventricle: Procedure Code Group Overview

00RF-OLFACTORY-NERVE-REPLACEMENT

ICD-10-PCS Code For Olfactory Nerve: Procedure Code Group Overview

00RG-OPTIC-NERVE-REPLACEMENT

ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview

00RH-OCULOMOTOR-NERVE-REPLACEMENT

ICD-10-PCS Code For Oculomotor Nerve: Procedure Code Group Overview

00RJ-TROCHLEAR-NERVE-REPLACEMENT

ICD-10-PCS Code For Trochlear Nerve: Procedure Code Group Overview

00RK-TRIGEMINAL-NERVE-REPLACEMENT

ICD-10-PCS Code For Trigeminal Nerve: Procedure Code Group Overview

00RL-ABDUCENS-NERVE-REPLACEMENT

ICD-10-PCS Code For Abducens Nerve: Procedure Code Group Overview

00RM-FACIAL-NERVE-REPLACEMENT

ICD-10-PCS Code For Facial Nerve: Procedure Code Group Overview

00RN-ACOUSTIC-NERVE-REPLACEMENT

ICD-10-PCS Code For Acoustic Nerve: Procedure Code Group Overview

Showing 1–10 of 15

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview

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Cerebral Meninges Replacement Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview

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Cerebral Meninges Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview policy alerts

Cerebral Meninges Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Cerebral Meninges: Procedure Code Group Overview policy alerts

Cerebral Meninges Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 00R1 represent?

What are the specific ICD-10-PCS codes included in the 00R1 cerebral meninges replacement group?

How does accurate coding within 00R1 affect inpatient reimbursement?

What code attributes define the 00R1 procedure group?

Which related DRGs may be relevant when coding a cerebral meninges replacement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 00R1 represent?

What are the specific ICD-10-PCS codes included in the 00R1 cerebral meninges replacement group?

How does accurate coding within 00R1 affect inpatient reimbursement?

What code attributes define the 00R1 procedure group?

Which related DRGs may be relevant when coding a cerebral meninges replacement?

References