ICD-10-PCS Code For Skin, Buttock: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0HR8 includes procedures performed to replace biological or synthetic material that takes the place and/or function of skin in the buttock. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of skin of the buttock is replaced with biological or synthetic material. Accurate coding within the ICD-10-PCS 0HR8 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Skin, Buttock Replacement Procedure Overview

This procedure group covers inpatient replacement procedures involving the skin of the buttock and targets the Skin and Breast body system. Procedures in this group involve putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of the skin of the buttock. Accurate coding of these replacement procedures ensures the inpatient record reflects the extent of surgical intervention and supports appropriate reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
R	Operation	Replacement
8	Body Part	Skin, Buttock

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ICD-10-PCS Code For Skin, Buttock: Procedure Code Group Overview

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Skin, Buttock Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
R	Operation	Replacement
8	Body Part	Skin, Buttock

When to Use

Use a code from this group when the skin of the buttock is replaced with grafts, skin substitutes, or synthetic materials that take the place of the native skin. These codes apply when the operative intent is replacement rather than repair, excision, or other operations.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0HR8X72	Replacement of Buttock Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
0HR8X73	Replacement of Buttock Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR8X74	Replacement of Buttock Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR8XJ3	Replacement of Buttock Skin with Synthetic Substitute, Full Thickness, External Approach
0HR8XJ4	Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR8XJZ	Replacement of Buttock Skin with Synthetic Substitute, External Approach
0HR8XK3	Replacement of Buttock Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR8XK4	Replacement of Buttock Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach

DRG Codes

32 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
264	Other Circulatory System O.R. Procedures
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC

Showing 1–10 of 32

Typical Clinical Scenarios

A middle-aged patient presents after a motor vehicle collision with a large full-thickness degloving injury of the buttock exposing subcutaneous tissue and partial loss of skin. The wound is debrided in the operating room and because native skin is insufficient for primary closure, a full-thickness graft substitute from the patient’s own skin suspension/cell preparation is applied to restore the skin surface. An external approach replacement using an autologous tissue substitute via cell suspension technique is performed to reestablish coverage and promote healing. Typical codes: 0HR8X72
An adult patient with chronic nonhealing pressure ulcer of the buttock after prolonged immobility is admitted for staged reconstruction. After serial debridements and optimization, the surgeon places a full-thickness biologic dermal substitute derived from donor tissue to replace the lost buttock skin and reconstruct the defect. The planned inpatient procedure uses a nonautologous tissue substitute, full-thickness, applied externally to restore the skin barrier. Typical codes: 0HR8XK3
An elderly patient with prior synthetic skin substitute placement on the buttock develops partial graft loss and infection requiring removal and re-replacement. After excision of infected material and wound bed preparation, a new partial-thickness synthetic skin substitute is applied externally to replace the damaged synthetic material and reestablish coverage. Typical codes: 0HR8XJ4

Related Codes

0HR0-SKIN-SCALP-REPLACEMENT

ICD-10-PCS Code For Skin Scalp: Procedure Code Group Overview

0HR1-SKIN-FACE-REPLACEMENT

ICD-10-PCS Code For Skin, Face: Procedure Code Group Overview

0HR2-SKIN-RIGHT-EAR-REPLACEMENT-SKIN-RIGHT-EAR-REPLACEMENT

ICD-10-PCS Code For Skin Right Ear: Procedure Code Group Overview

0HR3-LEFT-EAR-REPLACEMENT

ICD-10-PCS Code For Skin, Left Ear: Procedure Code Group Overview

0HR4-SKIN-NECK-REPLACEMENT

ICD-10-PCS Code For Skin, Neck: Procedure Code Group Overview

0HR5-CHEST-REPLACEMENT

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

0HR6-SKIN-BACK-REPLACEMENT

ICD-10-PCS Code For Skin Back: Procedure Code Group Overview

0HR9-SKIN-PERINEUM-REPLACEMENT

ICD-10-PCS Code For Skin Perineum: Procedure Code Group Overview

0HRA-SKIN-INGUINAL-REPLACEMENT

ICD-10-PCS Code For Skin, Inguinal: Procedure Code Group Overview

0HRB-SKIN-RIGHT-UPPER-ARM-REPLACEMENT

ICD-10-PCS Code For Skin Right Upper Arm: Procedure Code Group Overview

Showing 1–10 of 29

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

8 rows

ICD-10-PCS Code	Description
0HR8X72	Replacement of Buttock Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
0HR8X73	Replacement of Buttock Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR8X74	Replacement of Buttock Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR8XJ3	Replacement of Buttock Skin with Synthetic Substitute, Full Thickness, External Approach
0HR8XJ4	Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR8XJZ	Replacement of Buttock Skin with Synthetic Substitute, External Approach
0HR8XK3	Replacement of Buttock Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR8XK4	Replacement of Buttock Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach

DRG Codes

32 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
264	Other Circulatory System O.R. Procedures
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC

Showing 1–10 of 32

Typical Clinical Scenarios

A middle-aged patient presents after a motor vehicle collision with a large full-thickness degloving injury of the buttock exposing subcutaneous tissue and partial loss of skin. The wound is debrided in the operating room and because native skin is insufficient for primary closure, a full-thickness graft substitute from the patient’s own skin suspension/cell preparation is applied to restore the skin surface. An external approach replacement using an autologous tissue substitute via cell suspension technique is performed to reestablish coverage and promote healing. Typical codes: 0HR8X72
An adult patient with chronic nonhealing pressure ulcer of the buttock after prolonged immobility is admitted for staged reconstruction. After serial debridements and optimization, the surgeon places a full-thickness biologic dermal substitute derived from donor tissue to replace the lost buttock skin and reconstruct the defect. The planned inpatient procedure uses a nonautologous tissue substitute, full-thickness, applied externally to restore the skin barrier. Typical codes: 0HR8XK3
An elderly patient with prior synthetic skin substitute placement on the buttock develops partial graft loss and infection requiring removal and re-replacement. After excision of infected material and wound bed preparation, a new partial-thickness synthetic skin substitute is applied externally to replace the damaged synthetic material and reestablish coverage. Typical codes: 0HR8XJ4

Related Codes

0HR0-SKIN-SCALP-REPLACEMENT

ICD-10-PCS Code For Skin Scalp: Procedure Code Group Overview

0HR1-SKIN-FACE-REPLACEMENT

ICD-10-PCS Code For Skin, Face: Procedure Code Group Overview

0HR2-SKIN-RIGHT-EAR-REPLACEMENT-SKIN-RIGHT-EAR-REPLACEMENT

ICD-10-PCS Code For Skin Right Ear: Procedure Code Group Overview

0HR3-LEFT-EAR-REPLACEMENT

ICD-10-PCS Code For Skin, Left Ear: Procedure Code Group Overview

0HR4-SKIN-NECK-REPLACEMENT

ICD-10-PCS Code For Skin, Neck: Procedure Code Group Overview

0HR5-CHEST-REPLACEMENT

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

0HR6-SKIN-BACK-REPLACEMENT

ICD-10-PCS Code For Skin Back: Procedure Code Group Overview

0HR9-SKIN-PERINEUM-REPLACEMENT

ICD-10-PCS Code For Skin Perineum: Procedure Code Group Overview

0HRA-SKIN-INGUINAL-REPLACEMENT

ICD-10-PCS Code For Skin, Inguinal: Procedure Code Group Overview

0HRB-SKIN-RIGHT-UPPER-ARM-REPLACEMENT

ICD-10-PCS Code For Skin Right Upper Arm: Procedure Code Group Overview

Showing 1–10 of 29

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 Skin, Buttock: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Skin, Buttock: Procedure Code Group Overview policy alerts

Skin, Buttock Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Skin, Buttock: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Skin, Buttock: Procedure Code Group Overview policy alerts

Skin, Buttock Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are covered by this ICD-10-PCS code group?

When should codes from the 0HR8 group be used in inpatient documentation?

What specific ICD-10-PCS codes are included in the 0HR8 group?

How does accurate coding in this group affect reimbursement?

Which DRGs may be related to procedures in the 0HR8 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are covered by this ICD-10-PCS code group?

When should codes from the 0HR8 group be used in inpatient documentation?

What specific ICD-10-PCS codes are included in the 0HR8 group?

How does accurate coding in this group affect reimbursement?

Which DRGs may be related to procedures in the 0HR8 code group?

References