ICD-10-PCS Code For Facial Muscle: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0KR1 includes procedures performed to replace facial muscle with biological or synthetic material in the Muscles body system. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of a facial muscle is substituted by implanted tissue or prosthetic material to restore function. Accurate coding within the ICD-10-PCS 0KR1 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Facial Muscle Replacement Procedure Overview

This procedure group includes inpatient replacement procedures that place biological or synthetic material to take the place and/or function of facial muscle. These procedures target the muscles of the face within the Muscles body system and involve implanting or substituting tissue or prosthetic material to restore facial muscle function. Accurate ICD-10-PCS coding is important for reflecting the operation performed and for correct inpatient reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
K	Body System	Muscles
R	Operation	Replacement
1	Body Part	Facial Muscle

Explore openpayer tools

View all tools

ICD-10-PCS Code For Facial Muscle: Procedure Code Group Overview

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Facial Muscle Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
K	Body System	Muscles
R	Operation	Replacement
1	Body Part	Facial Muscle

When to Use

Use codes from this group when an inpatient procedure involves replacing all or part of a facial muscle with biological grafts or synthetic prosthetic material. These codes apply when the intent of the operation is to physically take the place and/or function of the facial muscle.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0KR107Z	Replacement of Facial Muscle with Autologous Tissue Substitute, Open Approach
0KR10JZ	Replacement of Facial Muscle with Synthetic Substitute, Open Approach
0KR10KZ	Replacement of Facial Muscle with Nonautologous Tissue Substitute, Open Approach
0KR147Z	Replacement of Facial Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR14JZ	Replacement of Facial Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR14KZ	Replacement of Facial Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

18 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
500	Soft Tissue Procedures with MCC
501	Soft Tissue Procedures with CC
502	Soft Tissue 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

Showing 1–10 of 18

Typical Clinical Scenarios

A middle-aged patient presents urgently after a motor vehicle collision with avulsion of the zygomaticus major muscle and significant soft tissue loss of the cheek leading to inability to elevate the corner of the mouth. Inpatient surgical management is planned to restore facial symmetry and function by implanting the patient’s own tissue to replace the damaged facial muscle. An open approach is used to secure the autologous tissue substitute and reestablish muscle continuity and dynamic movement. Typical codes: 0KR107Z
An adult with long-standing facial nerve paralysis undergoes an elective transfer of a synthetic muscle sling to recreate smile dynamics after failed conservative therapy. The operation is performed under planned inpatient admission using an open technique to position and anchor the prosthetic material to substitute for deficient facial muscle function. The intent is functional restoration of the corner of the mouth using a permanent synthetic substitute. Typical codes: 0KR10JZ
A patient previously reconstructed for facial muscle loss presents with chronic rejection and breakdown of a prior nonautologous tissue implant causing exposure and loss of function. Inpatient revision surgery is required to remove the failing implant and replace the affected segment with a new nonautologous tissue substitute via a percutaneous endoscopic approach to limit additional soft tissue trauma. The goal is to reestablish structural support and restore facial muscle function. Typical codes: 0KR14KZ

Related Codes

0KR0-HEAD-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Head Muscle: Procedure Code Group Overview

0KR2-NECK-MUSCLE-RIGHT-REPLACEMENT

ICD-10-PCS Code For Neck Muscle Right: Procedure Code Group Overview

0KR3-NECK-MUSCLE-LEFT-REPLACEMENT

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

0KR4-TONGUE-PALATE-PHARYNX-REPLACEMENT

ICD-10-PCS Code For Tongue, Palate, Pharynx Muscle: Procedure Code Group Overview

0KR5-SHOULDER-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Shoulder Muscle Right: Procedure Code Group Overview

0KR6-LEFT-SHOULDER-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Left Shoulder Muscle: Procedure Code Group Overview

0KR7-UPPER-ARM-MUSCLE-REPLACEMENT

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

0KR8-LEFT-UPPER-ARM-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Upper Arm Muscle Left: Procedure Code Group Overview

0KR9-LOWER-ARM-AND-WRIST-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Lower Arm And Wrist Muscle: Procedure Code Group Overview

0KRB-LEFT-LOWER-ARM-REPLACEMENT

ICD-10-PCS Code For Left Lower Arm And Wrist Muscle: Procedure Code Group Overview

Showing 1–10 of 27

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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0KR107Z	Replacement of Facial Muscle with Autologous Tissue Substitute, Open Approach
0KR10JZ	Replacement of Facial Muscle with Synthetic Substitute, Open Approach
0KR10KZ	Replacement of Facial Muscle with Nonautologous Tissue Substitute, Open Approach
0KR147Z	Replacement of Facial Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR14JZ	Replacement of Facial Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR14KZ	Replacement of Facial Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

18 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
500	Soft Tissue Procedures with MCC
501	Soft Tissue Procedures with CC
502	Soft Tissue 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

Showing 1–10 of 18

Typical Clinical Scenarios

A middle-aged patient presents urgently after a motor vehicle collision with avulsion of the zygomaticus major muscle and significant soft tissue loss of the cheek leading to inability to elevate the corner of the mouth. Inpatient surgical management is planned to restore facial symmetry and function by implanting the patient’s own tissue to replace the damaged facial muscle. An open approach is used to secure the autologous tissue substitute and reestablish muscle continuity and dynamic movement. Typical codes: 0KR107Z
An adult with long-standing facial nerve paralysis undergoes an elective transfer of a synthetic muscle sling to recreate smile dynamics after failed conservative therapy. The operation is performed under planned inpatient admission using an open technique to position and anchor the prosthetic material to substitute for deficient facial muscle function. The intent is functional restoration of the corner of the mouth using a permanent synthetic substitute. Typical codes: 0KR10JZ
A patient previously reconstructed for facial muscle loss presents with chronic rejection and breakdown of a prior nonautologous tissue implant causing exposure and loss of function. Inpatient revision surgery is required to remove the failing implant and replace the affected segment with a new nonautologous tissue substitute via a percutaneous endoscopic approach to limit additional soft tissue trauma. The goal is to reestablish structural support and restore facial muscle function. Typical codes: 0KR14KZ

Related Codes

0KR0-HEAD-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Head Muscle: Procedure Code Group Overview

0KR2-NECK-MUSCLE-RIGHT-REPLACEMENT

ICD-10-PCS Code For Neck Muscle Right: Procedure Code Group Overview

0KR3-NECK-MUSCLE-LEFT-REPLACEMENT

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

0KR4-TONGUE-PALATE-PHARYNX-REPLACEMENT

ICD-10-PCS Code For Tongue, Palate, Pharynx Muscle: Procedure Code Group Overview

0KR5-SHOULDER-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Shoulder Muscle Right: Procedure Code Group Overview

0KR6-LEFT-SHOULDER-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Left Shoulder Muscle: Procedure Code Group Overview

0KR7-UPPER-ARM-MUSCLE-REPLACEMENT

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

0KR8-LEFT-UPPER-ARM-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Upper Arm Muscle Left: Procedure Code Group Overview

0KR9-LOWER-ARM-AND-WRIST-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Lower Arm And Wrist Muscle: Procedure Code Group Overview

0KRB-LEFT-LOWER-ARM-REPLACEMENT

ICD-10-PCS Code For Left Lower Arm And Wrist Muscle: Procedure Code Group Overview

Showing 1–10 of 27

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 Facial Muscle: Procedure Code Group Overview

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

Facial Muscle Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Facial Muscle: Procedure Code Group Overview

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

Facial Muscle Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Facial Muscle replacement group?

What body system and operation do the 0KR1 codes represent?

How does accurate coding in the 0KR1 group affect inpatient documentation?

Which approaches are represented among the specific 0KR1 codes?

What DRG categories might be associated with procedures in the Facial Muscle replacement group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Facial Muscle replacement group?

What body system and operation do the 0KR1 codes represent?

How does accurate coding in the 0KR1 group affect inpatient documentation?

Which approaches are represented among the specific 0KR1 codes?

What DRG categories might be associated with procedures in the Facial Muscle replacement group?

References