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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0HX4 includes procedures performed to transfer skin in the neck. These ICD-10-PCS codes are used for inpatient documentation when skin from the neck is moved, without removal, to assume the function or coverage of another skin area. Accurate coding within the ICD-10-PCS 0HX4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Neck Transfer Procedure Overview

Procedures in this group involve transferring skin from the neck to another location to take over the function of all or a portion of another skin area. These procedures target the Skin and Breast body system and specifically the skin of the neck. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the exact transfer procedure performed and supports appropriate case mix assignment and payment.

Code Attributes

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

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

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Neck 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
4	Body Part	Skin, Neck

When to Use

Use a code from this group when neck skin is relocated to replace or support the function of skin at another anatomical site without full excision. These codes apply for inpatient documentation when the transfer is performed by an external approach to achieve coverage or functional restoration.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
0HX4XZZ	Transfer Neck 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 older adult presents after a facial skin cancer excision that created a full-thickness defect on the lower face requiring prompt soft-tissue coverage. The surgical team elevates and transfers a pedicled skin flap from the neck to cover the facial defect and restore contour and skin coverage during the same hospitalization. A code from this group is used to document the external transfer of neck skin to replace the facial skin defect. Typical codes: 0HX4XZZ
A middle-aged patient is admitted emergently after a motor vehicle collision with an open wound and degloving injury to the anterior chest requiring soft-tissue coverage. The reconstructive surgeon transfers neck skin via an external pedicled flap to provide immediate coverage and protect underlying structures in the inpatient setting. This transfer of neck skin to the chest is coded using a code from this group. Typical codes: 0HX4XZZ
A patient with a prior graft failure after head and neck reconstruction develops a nonhealing wound with exposed hardware and requires revision coverage. During the inpatient revision procedure, viable neck skin is mobilized and externally transferred to re-cover the defect and promote healing. The transfer of neck skin to assume coverage function is reported with a code from this group. Typical codes: 0HX4XZZ

Related Codes

0HX0-SCALP-TRANSFER

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

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

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
0HX4XZZ	Transfer Neck 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 older adult presents after a facial skin cancer excision that created a full-thickness defect on the lower face requiring prompt soft-tissue coverage. The surgical team elevates and transfers a pedicled skin flap from the neck to cover the facial defect and restore contour and skin coverage during the same hospitalization. A code from this group is used to document the external transfer of neck skin to replace the facial skin defect. Typical codes: 0HX4XZZ
A middle-aged patient is admitted emergently after a motor vehicle collision with an open wound and degloving injury to the anterior chest requiring soft-tissue coverage. The reconstructive surgeon transfers neck skin via an external pedicled flap to provide immediate coverage and protect underlying structures in the inpatient setting. This transfer of neck skin to the chest is coded using a code from this group. Typical codes: 0HX4XZZ
A patient with a prior graft failure after head and neck reconstruction develops a nonhealing wound with exposed hardware and requires revision coverage. During the inpatient revision procedure, viable neck skin is mobilized and externally transferred to re-cover the defect and promote healing. The transfer of neck skin to assume coverage function is reported with a code from this group. Typical codes: 0HX4XZZ

Related Codes

0HX0-SCALP-TRANSFER

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

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

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 Neck Skin: Procedure Code Group Overview

Sign up for ICD-10-PCS Code for Neck Skin: Procedure Code Group Overview policy alerts

Neck Transfer Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code for Neck Skin: Procedure Code Group Overview policy alerts

Neck Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What is the ICD-10-PCS code group for transferring neck skin?

What body system and body part do these procedures target?

What type of operation is represented by the 0HX4 code group?

How does accurate coding within 0HX4 affect inpatient reimbursement?

Which DRGs may be related to procedures coded in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What is the ICD-10-PCS code group for transferring neck skin?

What body system and body part do these procedures target?

What type of operation is represented by the 0HX4 code group?

How does accurate coding within 0HX4 affect inpatient reimbursement?

Which DRGs may be related to procedures coded in this group?

References