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 0CX5 includes procedures performed to transfer oral soft tissue in the upper gingiva. These ICD-10-PCS codes are used for inpatient documentation when tissue of the upper gingiva is moved, without taking out, to assume the function of all or part of another oral structure. Accurate coding within the ICD-10-PCS 0CX5 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Upper Gingiva Transfer Procedure Overview

This procedure group includes transfers involving the upper gingiva within the Mouth and Throat body system, where tissue or a portion of the gingiva is moved to another location to take over function. Procedures in this group move, without taking out, all or a portion of the upper gingiva to assume the function of another oral structure. Accurate ICD-10-PCS coding ensures inpatient records reflect the correct root operation and supports appropriate reimbursement and clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
C	Body System	Mouth and Throat
X	Operation	Transfer
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 Transfer Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
C	Body System	Mouth and Throat
X	Operation	Transfer
5	Body Part	Upper Gingiva

When to Use

Use a code from this group when the upper gingiva tissue is relocated in a procedure intended to assume the function of another oral structure without full removal. These codes apply to inpatient encounters where the transfer is documented as the operative action and aligns with the Transfer root operation definition.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0CX50ZZ	Transfer Upper Gingiva, Open Approach
0CX5XZZ	Transfer Upper Gingiva, 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 elderly patient with extensive maxillary alveolar ridge exposure after a traumatic avulsion of anterior teeth and loss of attached gingiva presents for inpatient reconstruction. The surgical team performs an open transfer of adjacent upper gingival tissue to recreate attached gingiva and provide coverage and functional support for denture stabilization. The procedure is documented as moving upper gingival tissue without removal to reestablish oral mucosal function. Typical codes: 0CX50ZZ
A patient with oral cancer undergoing composite resection requires immediate intraoral soft tissue rearrangement to restore the maxillary gingival margin and support healing. In the operating room, surgeons use an external incision and mobilize upper gingival tissue to transfer it into the resection site to assume the function of the lost gingival segment. The transfer is performed to reestablish mucosal continuity and protect the surgical bed during the inpatient postoperative period. Typical codes: 0CX5XZZ
A middle-aged patient returns to the hospital with dehiscence of a previous periodontal flap graft resulting in compromised attached gingiva and exposed implant threads. During the admission, surgeons revise the area by mobilizing adjacent upper gingiva and transferring it to cover the defect and restore functional gingival tissue. The documented operation is a transfer of upper gingival tissue to assume the role of the failed graft without excision of the tissue. Typical codes: 0CX50ZZ, 0CX5XZZ

Related Codes

0CX0-UPPER-LIP-TRANSFER

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

0CX1-LOWER-LIP-TRANSFER

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

0CX3-SOFT-PALATE-TRANSFER

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

0CX4-BUCCAL-MUCOSA-TRANSFER

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

0CX6-LOWER-GINGIVA-TRANSFER

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

0CX7-TONGUE-MOVING-TONGUE-TRANSFER

ICD-10-PCS Code For Tongue: 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

2 rows

ICD-10-PCS Code	Description
0CX50ZZ	Transfer Upper Gingiva, Open Approach
0CX5XZZ	Transfer Upper Gingiva, 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 elderly patient with extensive maxillary alveolar ridge exposure after a traumatic avulsion of anterior teeth and loss of attached gingiva presents for inpatient reconstruction. The surgical team performs an open transfer of adjacent upper gingival tissue to recreate attached gingiva and provide coverage and functional support for denture stabilization. The procedure is documented as moving upper gingival tissue without removal to reestablish oral mucosal function. Typical codes: 0CX50ZZ
A patient with oral cancer undergoing composite resection requires immediate intraoral soft tissue rearrangement to restore the maxillary gingival margin and support healing. In the operating room, surgeons use an external incision and mobilize upper gingival tissue to transfer it into the resection site to assume the function of the lost gingival segment. The transfer is performed to reestablish mucosal continuity and protect the surgical bed during the inpatient postoperative period. Typical codes: 0CX5XZZ
A middle-aged patient returns to the hospital with dehiscence of a previous periodontal flap graft resulting in compromised attached gingiva and exposed implant threads. During the admission, surgeons revise the area by mobilizing adjacent upper gingiva and transferring it to cover the defect and restore functional gingival tissue. The documented operation is a transfer of upper gingival tissue to assume the role of the failed graft without excision of the tissue. Typical codes: 0CX50ZZ, 0CX5XZZ

Related Codes

0CX0-UPPER-LIP-TRANSFER

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

0CX1-LOWER-LIP-TRANSFER

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

0CX3-SOFT-PALATE-TRANSFER

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

0CX4-BUCCAL-MUCOSA-TRANSFER

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

0CX6-LOWER-GINGIVA-TRANSFER

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

0CX7-TONGUE-MOVING-TONGUE-TRANSFER

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

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

Upper Gingiva Transfer 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 Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation is represented by ICD-10-PCS code group 0CX5?

What specific ICD-10-PCS codes are included in the 0CX5 group?

How does accurate coding within 0CX5 affect inpatient documentation and reimbursement?

What does the body part attribute 'Upper Gingiva' signify in this procedure group?

Which DRG categories may relate to procedures coded in the 0CX5 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation is represented by ICD-10-PCS code group 0CX5?

What specific ICD-10-PCS codes are included in the 0CX5 group?

How does accurate coding within 0CX5 affect inpatient documentation and reimbursement?

What does the body part attribute 'Upper Gingiva' signify in this procedure group?

Which DRG categories may relate to procedures coded in the 0CX5 group?

References