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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0CX6 includes procedures performed to transfer all or a portion of the lower gingiva to another location in the mouth and throat. These ICD-10-PCS codes are used for inpatient documentation when gingival tissue from the lower gingiva is moved to take over the function of adjacent or distant oral mucosa. Accurate coding within the ICD-10-PCS 0CX6 group is essential for proper inpatient reimbursement, as it captures the transfer procedure performed and supports clinical documentation accuracy.

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Lower Gingiva Transfer Procedure Overview

Procedures in the ICD-10 PCS 0CX6 group involve transferring all or a portion of the lower gingiva to another location to assume the function of gingival tissue. These procedures target the Mouth and Throat body system and are coded in the Medical and Surgical section under the Transfer root operation. Accurate coding ensures the inpatient record reflects the specific tissue transfer performed and supports appropriate case mix assignment for reimbursement. Clear documentation of the donor tissue, recipient site, and transfer technique is necessary for correct code selection.

Code Attributes

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

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

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Lower 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
6	Body Part	Lower Gingiva

When to Use

Use a code from this group when lower gingival tissue is moved without removal to restore or replace gingival function at a different oral site. These codes apply when documentation specifies the donor lower gingiva and the transfer was performed to take over the function of the recipient tissue.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0CX60ZZ	Transfer Lower Gingiva, Open Approach
0CX6XZZ	Transfer Lower 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

A middle-aged patient with extensive periodontal disease and refractory gingival recession of the lower anterior teeth is admitted electively for staged oral reconstructive surgery to improve gingival attachment and esthetics. The surgical plan involves mobilizing a segment of healthy lower gingiva and transferring it to the adjacent recession sites to restore keratinized tissue and protect tooth roots, performed under an open surgical approach. Typical codes: 0CX60ZZ
An elderly patient on anticoagulation presents urgently with traumatic avulsion of part of the lower gingival margin after a facial injury, resulting in exposed roots and impaired function; inpatient management includes debridement and immediate tissue transfer to reestablish gingival coverage. Because the procedure involves moving lower gingival tissue to cover the defect through an external flap created to reach the recipient site, a transfer procedure using an external approach is used. Typical codes: 0CX6XZZ
A patient with prior mandibular tumor resection and radiation develops a persistent intraoral soft-tissue defect and gingival insufficiency causing chronic pain and prosthetic intolerance; during a planned reconstructive admission, lower gingival tissue is transposed to replace damaged mucosa and restore prosthetic support. The procedure is performed as an open intraoral transfer of lower gingiva to the defect to assume gingival function. Typical codes: 0CX60ZZ

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

0CX5-UPPER-GINGIVA-TRANSFER

ICD-10-PCS Code For Upper 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
0CX60ZZ	Transfer Lower Gingiva, Open Approach
0CX6XZZ	Transfer Lower 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

A middle-aged patient with extensive periodontal disease and refractory gingival recession of the lower anterior teeth is admitted electively for staged oral reconstructive surgery to improve gingival attachment and esthetics. The surgical plan involves mobilizing a segment of healthy lower gingiva and transferring it to the adjacent recession sites to restore keratinized tissue and protect tooth roots, performed under an open surgical approach. Typical codes: 0CX60ZZ
An elderly patient on anticoagulation presents urgently with traumatic avulsion of part of the lower gingival margin after a facial injury, resulting in exposed roots and impaired function; inpatient management includes debridement and immediate tissue transfer to reestablish gingival coverage. Because the procedure involves moving lower gingival tissue to cover the defect through an external flap created to reach the recipient site, a transfer procedure using an external approach is used. Typical codes: 0CX6XZZ
A patient with prior mandibular tumor resection and radiation develops a persistent intraoral soft-tissue defect and gingival insufficiency causing chronic pain and prosthetic intolerance; during a planned reconstructive admission, lower gingival tissue is transposed to replace damaged mucosa and restore prosthetic support. The procedure is performed as an open intraoral transfer of lower gingiva to the defect to assume gingival function. Typical codes: 0CX60ZZ

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

0CX5-UPPER-GINGIVA-TRANSFER

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

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

Lower Gingiva Transfer Procedure Overview

Code Attributes

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

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

Lower 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 does ICD-10-PCS code group 0CX6 represent?

What specific ICD-10-PCS codes are included in the 0CX6 group?

Why is accurate coding in the 0CX6 group important for inpatient documentation?

What documentation details are necessary to select the correct 0CX6 code?

Which related DRG categories may be associated with procedures coded to 0CX6?

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 0CX6 represent?

What specific ICD-10-PCS codes are included in the 0CX6 group?

Why is accurate coding in the 0CX6 group important for inpatient documentation?

What documentation details are necessary to select the correct 0CX6 code?

Which related DRG categories may be associated with procedures coded to 0CX6?

References