ICD-10-PCS Code For Upper Lip: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0C00 includes procedures performed to alter structures in the upper lip within the mouth and throat body system. These ICD-10-PCS codes are used for inpatient documentation when a clinician modifies the anatomic structure of the upper lip without affecting its function. Accurate coding within the ICD-10-PCS 0C00 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Upper Lip Alteration Procedure Overview

Procedures in this group involve alteration of the upper lip anatomic structure without changing its primary function and target the mouth and throat body system. These operations typically modify tissue shape, contour, or appearance of the upper lip. Accurate ICD-10-PCS coding for these procedures matters for inpatient reimbursement because it documents the exact anatomic site and operation performed, supporting appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
C	Body System	Mouth and Throat
0	Operation	Alteration
0	Body Part	Upper Lip

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ICD-10-PCS Code For Upper Lip: Procedure Code Group Overview

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Upper Lip Alteration Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
C	Body System	Mouth and Throat
0	Operation	Alteration
0	Body Part	Upper Lip

When to Use

Use a code from this group when an inpatient procedure modifies the shape, contour, or tissue of the upper lip but does not alter its functional capacity. These codes apply when documentation specifies an alteration operation on the upper lip as part of the inpatient encounter.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
0C00X7Z	Alteration of Upper Lip with Autologous Tissue Substitute, External Approach
0C00XJZ	Alteration of Upper Lip with Synthetic Substitute, External Approach
0C00XKZ	Alteration of Upper Lip with Nonautologous Tissue Substitute, External Approach
0C00XZZ	Alteration of Upper Lip, External Approach

DRG Codes

14 rows

DRG Code	Description
137	Mouth Procedures with CC/MCC
138	Mouth Procedures without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast 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
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC

Showing 1–10 of 14

Typical Clinical Scenarios

An adult patient is admitted after a facial dog bite causing jagged soft-tissue loss of the upper lip margin. The surgical team performs an urgent external-approach procedure to reshape and close the defect using the patient’s own local tissue to restore lip contour and continuity. The operation modifies the anatomic structure of the upper lip without altering oral competence or sphincter function. Typical codes: 0C00X7Z
A middle-aged patient undergoes a planned cosmetic revision of an asymmetrical upper lip following prior trauma, with external-approach augmentation to improve contour. The surgeon uses a synthetic implant material placed externally to alter lip shape and symmetry during an elective inpatient admission for observation. The procedure is intended to change anatomic appearance while preserving lip function. Typical codes: 0C00XJZ
A patient returns for correction of a prior reconstructive graft that failed to achieve desired contour of the upper lip; the team performs an external-approach alteration using a nonautologous (allogeneic) tissue substitute to revise the lip shape. This inpatient revision procedure addresses persistent contour deformity but does not aim to change oral function. Typical codes: 0C00XKZ, 0C00XZZ

Related Codes

0C01-LOWER-LIP-ALTERATION

ICD-10-PCS Code For Lower Lip: Procedure Code Group Overview

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

4 rows

ICD-10-PCS Code	Description
0C00X7Z	Alteration of Upper Lip with Autologous Tissue Substitute, External Approach
0C00XJZ	Alteration of Upper Lip with Synthetic Substitute, External Approach
0C00XKZ	Alteration of Upper Lip with Nonautologous Tissue Substitute, External Approach
0C00XZZ	Alteration of Upper Lip, External Approach

DRG Codes

14 rows

DRG Code	Description
137	Mouth Procedures with CC/MCC
138	Mouth Procedures without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast 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
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC

Showing 1–10 of 14

Typical Clinical Scenarios

An adult patient is admitted after a facial dog bite causing jagged soft-tissue loss of the upper lip margin. The surgical team performs an urgent external-approach procedure to reshape and close the defect using the patient’s own local tissue to restore lip contour and continuity. The operation modifies the anatomic structure of the upper lip without altering oral competence or sphincter function. Typical codes: 0C00X7Z
A middle-aged patient undergoes a planned cosmetic revision of an asymmetrical upper lip following prior trauma, with external-approach augmentation to improve contour. The surgeon uses a synthetic implant material placed externally to alter lip shape and symmetry during an elective inpatient admission for observation. The procedure is intended to change anatomic appearance while preserving lip function. Typical codes: 0C00XJZ
A patient returns for correction of a prior reconstructive graft that failed to achieve desired contour of the upper lip; the team performs an external-approach alteration using a nonautologous (allogeneic) tissue substitute to revise the lip shape. This inpatient revision procedure addresses persistent contour deformity but does not aim to change oral function. Typical codes: 0C00XKZ, 0C00XZZ

Related Codes

0C01-LOWER-LIP-ALTERATION

ICD-10-PCS Code For Lower Lip: Procedure Code Group Overview

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.

ICD-10-PCS Code For Upper Lip: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Lip: Procedure Code Group Overview policy alerts

Upper Lip Alteration Procedure Overview

Code Attributes

ICD-10-PCS Code For Upper Lip: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Lip: Procedure Code Group Overview policy alerts

Upper Lip Alteration 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 0C00 represent?

What are the specific ICD-10-PCS codes listed in the 0C00 group?

Why is accurate coding within ICD-10-PCS 0C00 important for inpatient reimbursement?

What code attributes are associated with the 0C00 group?

Which related DRGs may be impacted by procedures coded to the 0C00 group?

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 0C00 represent?

What are the specific ICD-10-PCS codes listed in the 0C00 group?

Why is accurate coding within ICD-10-PCS 0C00 important for inpatient reimbursement?

What code attributes are associated with the 0C00 group?

Which related DRGs may be impacted by procedures coded to the 0C00 group?

References