ICD-10-PCS Code For Hard Palate: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0CU2 includes procedures performed to augment or reinforce structures in the hard palate. These ICD-10-PCS codes are used for inpatient documentation when biological or synthetic material is placed on or into the hard palate to restore or support its function. Accurate coding within the ICD-10-PCS 0CU2 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Hard Palate Supplement Procedure Overview

Procedures in this ICD-10-PCS group involve placing biological or synthetic material on or into the hard palate to augment or reinforce its function. These interventions target the mouth and throat body system and specifically the hard palate. Accurate coding of supplement procedures ensures the inpatient record reflects the procedure performed and supports correct reimbursement and case-mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
C	Body System	Mouth and Throat
U	Operation	Supplement
2	Body Part	Hard Palate

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ICD-10-PCS Code For Hard Palate: Procedure Code Group Overview

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Hard Palate Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
C	Body System	Mouth and Throat
U	Operation	Supplement
2	Body Part	Hard Palate

When to Use

Use a code from this group when material is inserted, attached, or applied to the hard palate to improve its structural integrity or function. Codes are assigned for inpatient records when the supplement procedure is performed during the hospital stay.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0CU207Z	Supplement Hard Palate with Autologous Tissue Substitute, Open Approach
0CU20JZ	Supplement Hard Palate with Synthetic Substitute, Open Approach
0CU20KZ	Supplement Hard Palate with Nonautologous Tissue Substitute, Open Approach
0CU237Z	Supplement Hard Palate with Autologous Tissue Substitute, Percutaneous Approach
0CU23JZ	Supplement Hard Palate with Synthetic Substitute, Percutaneous Approach
0CU23KZ	Supplement Hard Palate with Nonautologous Tissue Substitute, Percutaneous Approach
0CU2X7Z	Supplement Hard Palate with Autologous Tissue Substitute, External Approach
0CU2XJZ	Supplement Hard Palate with Synthetic Substitute, External Approach
0CU2XKZ	Supplement Hard Palate with Nonautologous Tissue Substitute, External Approach

DRG Codes

9 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. 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

Typical Clinical Scenarios

An adult patient with a large palatal fistula and velopharyngeal insufficiency after maxillofacial trauma presents for inpatient repair because outpatient closure failed and there is significant nasal regurgitation and speech disturbance. The surgical team plans to place autologous tissue (local flap or graft) onto the hard palate to augment the defect and restore separation between oral and nasal cavities, requiring an open intraoral approach under general anesthesia. Typical codes: 0CU207Z
A pediatric patient with a congenital cleft of the hard palate scheduled for a staged, elective hospital admission to augment palatal structure and improve feeding and speech; the surgeon plans to place a synthetic palatal implant or barrier applied during a percutaneous or minimally invasive technique to reinforce the hard palate. Because the procedure is done during an inpatient stay to optimize perioperative airway and feeding management, a code reflecting synthetic substitute with a percutaneous approach is appropriate. Typical codes: 0CU23JZ, 0CU2XJZ
An adult with recurrent palatal breakdown after prior grafting, now with chronic oronasal fistula and ongoing infection requiring debridement and reinforcement; the operative plan is to excise devitalized tissue and place a nonautologous tissue substitute (allograft/xenograft) on the hard palate via an open approach to re-establish structural integrity and allow healing. Typical codes: 0CU20KZ

Related Codes

0CU0-UPPER-LIP-SUPPLEMENT

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

0CU1-LOWER-LIP-SUPPLEMENT

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

0CU3-SOFT-PALATE-SUPPLEMENT

ICD-10-PCS Code For Soft Palate: Procedure Code Group Overview

0CU4-BUCCAL-MUCOSA-SUPPLEMENT

ICD-10-PCS Code For Buccal Mucosa: Procedure Code Group Overview

0CU5-UPPER-GINGIVA-SUPPLEMENT

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

0CU6-LOWER-GINGIVA-SUPPLEMENT

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

0CU7-TONGUE-SUPPLEMENT

ICD-10-PCS Code For Tongue: Procedure Code Group Overview

0CUM-PHARYNX-PUTTING-IN-OR-ON-PHARYNX-SUPPLEMENT

ICD-10-PCS Code For Pharynx: Procedure Code Group Overview

0CUN-UVULA-SUPPLEMENT

ICD-10-PCS Code For Uvula: Procedure Code Group Overview

0CUR-EPIGLOTTIS-SUPPLEMENT

ICD-10-PCS Code For Epiglottis: Procedure Code Group Overview

Showing 1–10 of 13

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

9 rows

ICD-10-PCS Code	Description
0CU207Z	Supplement Hard Palate with Autologous Tissue Substitute, Open Approach
0CU20JZ	Supplement Hard Palate with Synthetic Substitute, Open Approach
0CU20KZ	Supplement Hard Palate with Nonautologous Tissue Substitute, Open Approach
0CU237Z	Supplement Hard Palate with Autologous Tissue Substitute, Percutaneous Approach
0CU23JZ	Supplement Hard Palate with Synthetic Substitute, Percutaneous Approach
0CU23KZ	Supplement Hard Palate with Nonautologous Tissue Substitute, Percutaneous Approach
0CU2X7Z	Supplement Hard Palate with Autologous Tissue Substitute, External Approach
0CU2XJZ	Supplement Hard Palate with Synthetic Substitute, External Approach
0CU2XKZ	Supplement Hard Palate with Nonautologous Tissue Substitute, External Approach

DRG Codes

9 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. 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

Typical Clinical Scenarios

An adult patient with a large palatal fistula and velopharyngeal insufficiency after maxillofacial trauma presents for inpatient repair because outpatient closure failed and there is significant nasal regurgitation and speech disturbance. The surgical team plans to place autologous tissue (local flap or graft) onto the hard palate to augment the defect and restore separation between oral and nasal cavities, requiring an open intraoral approach under general anesthesia. Typical codes: 0CU207Z
A pediatric patient with a congenital cleft of the hard palate scheduled for a staged, elective hospital admission to augment palatal structure and improve feeding and speech; the surgeon plans to place a synthetic palatal implant or barrier applied during a percutaneous or minimally invasive technique to reinforce the hard palate. Because the procedure is done during an inpatient stay to optimize perioperative airway and feeding management, a code reflecting synthetic substitute with a percutaneous approach is appropriate. Typical codes: 0CU23JZ, 0CU2XJZ
An adult with recurrent palatal breakdown after prior grafting, now with chronic oronasal fistula and ongoing infection requiring debridement and reinforcement; the operative plan is to excise devitalized tissue and place a nonautologous tissue substitute (allograft/xenograft) on the hard palate via an open approach to re-establish structural integrity and allow healing. Typical codes: 0CU20KZ

Related Codes

0CU0-UPPER-LIP-SUPPLEMENT

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

0CU1-LOWER-LIP-SUPPLEMENT

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

0CU3-SOFT-PALATE-SUPPLEMENT

ICD-10-PCS Code For Soft Palate: Procedure Code Group Overview

0CU4-BUCCAL-MUCOSA-SUPPLEMENT

ICD-10-PCS Code For Buccal Mucosa: Procedure Code Group Overview

0CU5-UPPER-GINGIVA-SUPPLEMENT

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

0CU6-LOWER-GINGIVA-SUPPLEMENT

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

0CU7-TONGUE-SUPPLEMENT

ICD-10-PCS Code For Tongue: Procedure Code Group Overview

0CUM-PHARYNX-PUTTING-IN-OR-ON-PHARYNX-SUPPLEMENT

ICD-10-PCS Code For Pharynx: Procedure Code Group Overview

0CUN-UVULA-SUPPLEMENT

ICD-10-PCS Code For Uvula: Procedure Code Group Overview

0CUR-EPIGLOTTIS-SUPPLEMENT

ICD-10-PCS Code For Epiglottis: Procedure Code Group Overview

Showing 1–10 of 13

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 Hard Palate: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Hard Palate: Procedure Code Group Overview policy alerts

Hard Palate Supplement Procedure Overview

Code Attributes

ICD-10-PCS Code For Hard Palate: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Hard Palate: Procedure Code Group Overview policy alerts

Hard Palate Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and body part do ICD-10-PCS codes in the 0CU2 group target?

What operation is represented by the ICD-10-PCS 0CU2 code group?

Which specific ICD-10-PCS codes represent open approach supplements to the hard palate?

How do the codes differentiate by approach and material type within the 0CU2 group?

How does accurate coding in the 0CU2 group affect inpatient reimbursement and DRG assignment?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and body part do ICD-10-PCS codes in the 0CU2 group target?

What operation is represented by the ICD-10-PCS 0CU2 code group?

Which specific ICD-10-PCS codes represent open approach supplements to the hard palate?

How do the codes differentiate by approach and material type within the 0CU2 group?

How does accurate coding in the 0CU2 group affect inpatient reimbursement and DRG assignment?

References