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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0HX0 includes procedures performed to transfer skin in the scalp. These ICD-10-PCS codes are used for inpatient documentation when scalp skin is moved, without removal, to another location to assume the function of the recipient site. Accurate coding within the ICD-10-PCS 0HX0 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Scalp Transfer Procedure Overview

Procedures in this group involve transfer of scalp skin using an external approach and target the Skin and Breast body system specifically at the scalp. These operations move all or a portion of scalp skin to another location so that the transferred tissue can take over the function of the recipient site. Accurate ICD-10-PCS coding of these transfers is important for inpatient reimbursement because it documents the specific operation and anatomic focus, which affects case mix and payment. Clear documentation of the procedure and laterality supports correct code assignment and clinical record integrity.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
X	Operation	Transfer
0	Body Part	Skin, Scalp

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

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Scalp Transfer Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
X	Operation	Transfer
0	Body Part	Skin, Scalp

When to Use

Use a code from this group when documented operative notes describe transferring scalp skin externally to a new location without removing the tissue from the body. Select the specific code when the record specifies scalp skin as the donor tissue and an external approach was used for the transfer.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
0HX0XZZ	Transfer Scalp Skin, 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

An elderly patient on anticoagulation sustains a large full-thickness scalp avulsion after a fall at home with exposed skull and ongoing bleeding; they are admitted for urgent wound coverage to preserve scalp tissue and restore soft-tissue protection of the calvarium. A transfer of scalp skin using an external approach is performed to move viable adjacent scalp to cover the defect and reestablish soft-tissue continuity. Typical codes: 0HX0XZZ
A middle-aged patient with a chronic radiation-induced scalp ulcer and underlying bone exposure is scheduled for an elective inpatient reconstruction after conservative care fails; the goal is to bring healthy vascularized scalp tissue into the defect to promote healing and protect underlying structures. The surgeon transfers scalp skin by an external flap during the planned operative admission to replace the damaged recipient site. Typical codes: 0HX0XZZ
A pediatric patient presents after a previous scalp repair that developed partial flap necrosis and wound breakdown with persistent soft-tissue defect; the child is taken back to the operating room for revision and transfer of adjacent healthy scalp to cover the compromised area and restore tissue integrity. Typical codes: 0HX0XZZ

Related Codes

0HX1-FACE-TRANSFER

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

0HX2-RIGHT-EAR-TRANSFER

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

0HX3-LEFT-EAR-TRANSFER

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

0HX4-NECK-TRANSFER

ICD-10-PCS Code for Neck Skin: Procedure Code Group Overview

0HX5-CHEST-TRANSFER

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

0HX6-BACK-TRANSFER

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

0HX7-ABDOMEN-TRANSFER

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

0HX8-BUTTOCK-TRANSFER

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

0HX9-PERINEUM-TRANSFER

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

0HXA-INGUINAL-SKIN-TRANSFER-INGUINAL-TRANSFER

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

Showing 1–10 of 22

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

1 rows

ICD-10-PCS Code	Description
0HX0XZZ	Transfer Scalp Skin, 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

An elderly patient on anticoagulation sustains a large full-thickness scalp avulsion after a fall at home with exposed skull and ongoing bleeding; they are admitted for urgent wound coverage to preserve scalp tissue and restore soft-tissue protection of the calvarium. A transfer of scalp skin using an external approach is performed to move viable adjacent scalp to cover the defect and reestablish soft-tissue continuity. Typical codes: 0HX0XZZ
A middle-aged patient with a chronic radiation-induced scalp ulcer and underlying bone exposure is scheduled for an elective inpatient reconstruction after conservative care fails; the goal is to bring healthy vascularized scalp tissue into the defect to promote healing and protect underlying structures. The surgeon transfers scalp skin by an external flap during the planned operative admission to replace the damaged recipient site. Typical codes: 0HX0XZZ
A pediatric patient presents after a previous scalp repair that developed partial flap necrosis and wound breakdown with persistent soft-tissue defect; the child is taken back to the operating room for revision and transfer of adjacent healthy scalp to cover the compromised area and restore tissue integrity. Typical codes: 0HX0XZZ

Related Codes

0HX1-FACE-TRANSFER

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

0HX2-RIGHT-EAR-TRANSFER

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

0HX3-LEFT-EAR-TRANSFER

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

0HX4-NECK-TRANSFER

ICD-10-PCS Code for Neck Skin: Procedure Code Group Overview

0HX5-CHEST-TRANSFER

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

0HX6-BACK-TRANSFER

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

0HX7-ABDOMEN-TRANSFER

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

0HX8-BUTTOCK-TRANSFER

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

0HX9-PERINEUM-TRANSFER

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

0HXA-INGUINAL-SKIN-TRANSFER-INGUINAL-TRANSFER

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

Showing 1–10 of 22

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 Scalp: Procedure Code Group Overview

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

Scalp Transfer Procedure Overview

Code Attributes

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

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

Scalp Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code is used for transfer of scalp skin via an external approach?

What body system and operation are represented by the 0HX0 code group?

Why is accurate coding within ICD-10-PCS 0HX0 important for inpatient documentation?

How does the 0HX0 code group affect DRG assignment and reimbursement considerations?

What are the required documentation elements to support assignment of `0HX0XZZ`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code is used for transfer of scalp skin via an external approach?

What body system and operation are represented by the 0HX0 code group?

Why is accurate coding within ICD-10-PCS 0HX0 important for inpatient documentation?

How does the 0HX0 code group affect DRG assignment and reimbursement considerations?

What are the required documentation elements to support assignment of `0HX0XZZ`?

References