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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0CU5 includes procedures performed to supplement biological or synthetic material in the upper gingiva. These ICD-10-PCS codes are used for inpatient documentation when augmentation or reinforcement of the upper gum tissue is performed to restore or improve function. Accurate coding within the ICD-10-PCS 0CU5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Upper Gingiva Supplement Procedure Overview

Procedures in this group involve placing biological or synthetic material to reinforce or augment the function of the upper gingiva within the mouth and throat body system. These procedures supplement tissue or structures of the upper gum to restore or improve function and support. Accurate coding of these supplementary procedures is important for inpatient reimbursement because it reflects the complexity and resources used for oral soft-tissue augmentation and supports appropriate 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
5	Body Part	Upper Gingiva

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

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Upper Gingiva 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
5	Body Part	Upper Gingiva

When to Use

Use a code from this group when material is implanted, grafted, or applied to the upper gingiva to improve structural support or function. These codes apply when the procedure involves supplementation rather than removal, transfer, or replacement of tissue.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0CU507Z	Supplement Upper Gingiva with Autologous Tissue Substitute, Open Approach
0CU50JZ	Supplement Upper Gingiva with Synthetic Substitute, Open Approach
0CU50KZ	Supplement Upper Gingiva with Nonautologous Tissue Substitute, Open Approach
0CU537Z	Supplement Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach
0CU53JZ	Supplement Upper Gingiva with Synthetic Substitute, Percutaneous Approach
0CU53KZ	Supplement Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
0CU5X7Z	Supplement Upper Gingiva with Autologous Tissue Substitute, External Approach
0CU5XJZ	Supplement Upper Gingiva with Synthetic Substitute, External Approach
0CU5XKZ	Supplement Upper Gingiva with Nonautologous Tissue Substitute, External Approach

DRG Codes

8 rows

DRG Code	Description
137	Mouth Procedures with CC/MCC
138	Mouth 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
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient with progressive periodontal recession of the upper anterior gingiva and severe mucogingival defects presents for planned inpatient surgical augmentation after failed outpatient attempts at local therapy; inpatient care is required due to significant comorbidities and anticipated need for monitored postoperative wound care and pain control. A biological graft is placed to reinforce the upper gingival margin and restore periodontal support. Typical codes: 0CU507Z, 0CU537Z
A middle-aged patient hospitalized after a traumatic avulsion and extensive soft-tissue loss of the maxillary gingiva from a motor vehicle collision requires urgent reconstruction to restore oral function and aid prosthetic rehabilitation; the procedure involves placement of synthetic scaffold material to augment the upper gingiva during the acute inpatient surgical repair. Typical codes: 0CU50JZ, 0CU53JZ
A patient with previous failed gum grafting for peri-implant soft-tissue deficiency of the maxillary alveolar ridge is admitted for revision augmentation using donor (nonautologous) tissue substitute to achieve better contour and seal around implants; the revision is performed in the inpatient setting because of complex surgical history and need for multidisciplinary care. Typical codes: 0CU50KZ, 0CU5XKZ

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

0CU2-HARD-PALATE-SUPPLEMENT

ICD-10-PCS Code For Hard Palate: 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

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
0CU507Z	Supplement Upper Gingiva with Autologous Tissue Substitute, Open Approach
0CU50JZ	Supplement Upper Gingiva with Synthetic Substitute, Open Approach
0CU50KZ	Supplement Upper Gingiva with Nonautologous Tissue Substitute, Open Approach
0CU537Z	Supplement Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach
0CU53JZ	Supplement Upper Gingiva with Synthetic Substitute, Percutaneous Approach
0CU53KZ	Supplement Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
0CU5X7Z	Supplement Upper Gingiva with Autologous Tissue Substitute, External Approach
0CU5XJZ	Supplement Upper Gingiva with Synthetic Substitute, External Approach
0CU5XKZ	Supplement Upper Gingiva with Nonautologous Tissue Substitute, External Approach

DRG Codes

8 rows

DRG Code	Description
137	Mouth Procedures with CC/MCC
138	Mouth 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
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient with progressive periodontal recession of the upper anterior gingiva and severe mucogingival defects presents for planned inpatient surgical augmentation after failed outpatient attempts at local therapy; inpatient care is required due to significant comorbidities and anticipated need for monitored postoperative wound care and pain control. A biological graft is placed to reinforce the upper gingival margin and restore periodontal support. Typical codes: 0CU507Z, 0CU537Z
A middle-aged patient hospitalized after a traumatic avulsion and extensive soft-tissue loss of the maxillary gingiva from a motor vehicle collision requires urgent reconstruction to restore oral function and aid prosthetic rehabilitation; the procedure involves placement of synthetic scaffold material to augment the upper gingiva during the acute inpatient surgical repair. Typical codes: 0CU50JZ, 0CU53JZ
A patient with previous failed gum grafting for peri-implant soft-tissue deficiency of the maxillary alveolar ridge is admitted for revision augmentation using donor (nonautologous) tissue substitute to achieve better contour and seal around implants; the revision is performed in the inpatient setting because of complex surgical history and need for multidisciplinary care. Typical codes: 0CU50KZ, 0CU5XKZ

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

0CU2-HARD-PALATE-SUPPLEMENT

ICD-10-PCS Code For Hard Palate: 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

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 Upper Gingiva: Procedure Code Group Overview

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

Upper Gingiva Supplement Procedure Overview

Code Attributes

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

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

Upper Gingiva Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers procedures to supplement the upper gingiva?

What are the approach variations included in the 0CU5 code group?

How does the 0CU5 group differentiate by material type used for supplementation?

Why is accurate coding within the ICD-10-PCS 0CU5 group important for inpatient care?

Which DRGs may relate to procedures coded in the 0CU5 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers procedures to supplement the upper gingiva?

What are the approach variations included in the 0CU5 code group?

How does the 0CU5 group differentiate by material type used for supplementation?

Why is accurate coding within the ICD-10-PCS 0CU5 group important for inpatient care?

Which DRGs may relate to procedures coded in the 0CU5 group?

References