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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0HRA includes procedures performed to replace skin with biological or synthetic material in the inguinal region. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the inguinal skin is surgically replaced using grafts or implants. Accurate coding within the ICD-10-PCS 0HRA 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, Inguinal Replacement Procedure Overview

This procedure group includes inpatient replacement procedures involving skin in the inguinal region 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 inguinal skin. Accurate ICD-10-PCS coding is important because it captures the specific replacement operation and body part, which supports correct inpatient reimbursement and clinical documentation.

Code Attributes

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

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

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Skin, Inguinal 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
A	Body Part	Skin, Inguinal

When to Use

Use a code from this group when the surgical intent is replacement of all or part of the inguinal skin with a graft or implant. These codes apply when documentation supports that material was put in or on the inguinal skin to assume its form or function.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0HRAX72	Replacement of Inguinal Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
0HRAX73	Replacement of Inguinal Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRAX74	Replacement of Inguinal Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRAXJ3	Replacement of Inguinal Skin with Synthetic Substitute, Full Thickness, External Approach
0HRAXJ4	Replacement of Inguinal Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRAXJZ	Replacement of Inguinal Skin with Synthetic Substitute, External Approach
0HRAXK3	Replacement of Inguinal Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRAXK4	Replacement of Inguinal Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach

DRG Codes

26 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
264	Other Circulatory System O.R. Procedures
463	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC
464	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC
465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC
573	Skin Graft for Skin Ulcer or Cellulitis with MCC
574	Skin Graft for Skin Ulcer or Cellulitis with CC
575	Skin Graft for Skin Ulcer or Cellulitis without CC/MCC

Showing 1–10 of 26

Typical Clinical Scenarios

An elderly patient on chronic corticosteroids presents to the hospital with a large, full-thickness necrotic ulcer of the inguinal skin after weeks of wound progression and cellulitis that has stabilized with IV antibiotics. Because significant portions of inguinal skin are lost and bedside closure is not possible, the surgical team performs inpatient replacement of the full-thickness inguinal skin using the patients own harvested tissue to restore integrity and promote healing. Typical codes: 0HRAX73, 0HRAX72
A middle-aged diabetic patient is admitted electively for reconstruction after wide local excision of a recurrent squamous cell carcinoma in the inguinal crease; the resulting defect requires placement of a partial-thickness synthetic skin substitute to facilitate coverage and minimize donor-site morbidity. The planned inpatient procedure replaces the missing inguinal skin with a synthetic substitute applied externally to promote epithelialization. Typical codes: 0HRAXJ4, 0HRAXJZ
A younger trauma patient previously treated with a contaminated inguinal wound now presents with a persistent soft-tissue defect and exposed subcutaneous structures; after infection control, the surgeon performs revision replacement using a nonautologous biologic tissue substitute applied to the inguinal skin to provide durable coverage and prepare the area for later reconstruction. Typical codes: 0HRAXK4, 0HRAXK3

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

0HR8-SKIN-BUTTOCK-REPLACEMENT

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

0HR9-SKIN-PERINEUM-REPLACEMENT

ICD-10-PCS Code For Skin Perineum: 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
0HRAX72	Replacement of Inguinal Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
0HRAX73	Replacement of Inguinal Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HRAX74	Replacement of Inguinal Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HRAXJ3	Replacement of Inguinal Skin with Synthetic Substitute, Full Thickness, External Approach
0HRAXJ4	Replacement of Inguinal Skin with Synthetic Substitute, Partial Thickness, External Approach
0HRAXJZ	Replacement of Inguinal Skin with Synthetic Substitute, External Approach
0HRAXK3	Replacement of Inguinal Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HRAXK4	Replacement of Inguinal Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach

DRG Codes

26 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
264	Other Circulatory System O.R. Procedures
463	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC
464	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC
465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC
573	Skin Graft for Skin Ulcer or Cellulitis with MCC
574	Skin Graft for Skin Ulcer or Cellulitis with CC
575	Skin Graft for Skin Ulcer or Cellulitis without CC/MCC

Showing 1–10 of 26

Typical Clinical Scenarios

An elderly patient on chronic corticosteroids presents to the hospital with a large, full-thickness necrotic ulcer of the inguinal skin after weeks of wound progression and cellulitis that has stabilized with IV antibiotics. Because significant portions of inguinal skin are lost and bedside closure is not possible, the surgical team performs inpatient replacement of the full-thickness inguinal skin using the patients own harvested tissue to restore integrity and promote healing. Typical codes: 0HRAX73, 0HRAX72
A middle-aged diabetic patient is admitted electively for reconstruction after wide local excision of a recurrent squamous cell carcinoma in the inguinal crease; the resulting defect requires placement of a partial-thickness synthetic skin substitute to facilitate coverage and minimize donor-site morbidity. The planned inpatient procedure replaces the missing inguinal skin with a synthetic substitute applied externally to promote epithelialization. Typical codes: 0HRAXJ4, 0HRAXJZ
A younger trauma patient previously treated with a contaminated inguinal wound now presents with a persistent soft-tissue defect and exposed subcutaneous structures; after infection control, the surgeon performs revision replacement using a nonautologous biologic tissue substitute applied to the inguinal skin to provide durable coverage and prepare the area for later reconstruction. Typical codes: 0HRAXK4, 0HRAXK3

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

0HR8-SKIN-BUTTOCK-REPLACEMENT

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

0HR9-SKIN-PERINEUM-REPLACEMENT

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

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

Skin, Inguinal Replacement Procedure Overview

Code Attributes

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

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

Skin, Inguinal Replacement 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 0HRA represent?

When should procedures from code group `0HRA` be used in inpatient documentation?

What types of substitutes are specified in the listed `0HRA` codes?

How does coding with `0HRA` codes affect reimbursement and DRG assignment?

Can you list examples of specific ICD-10-PCS codes included in the `0HRA` group?

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 0HRA represent?

When should procedures from code group `0HRA` be used in inpatient documentation?

What types of substitutes are specified in the listed `0HRA` codes?

How does coding with `0HRA` codes affect reimbursement and DRG assignment?

Can you list examples of specific ICD-10-PCS codes included in the `0HRA` group?

References