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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0KRB includes procedures performed to replace muscle tissue in the lower arm and wrist on the left side. These ICD-10-PCS codes are used for inpatient documentation when surgical replacement with biological or synthetic material is performed to restore all or part of the left lower arm and wrist muscle. Accurate coding within the ICD-10-PCS 0KRB group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and determines appropriate case mix and payment.

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Lower Arm And Wrist Muscle Left Replacement Procedure Overview

This procedure group includes surgical replacement of the left lower arm and wrist muscle within the Muscles body system. Procedures involve removing all or part of the native muscle tissue and implanting biological or synthetic material that takes the place and/or function of the muscle. Accurate ICD-10-PCS coding is important to reflect the nature of the replacement procedure and to support correct inpatient reimbursement and clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
K	Body System	Muscles
R	Operation	Replacement
B	Body Part	Lower Arm and Wrist Muscle, Left

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

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Lower Arm And Wrist Muscle Left 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
B	Body Part	Lower Arm and Wrist Muscle, Left

When to Use

Use a code from this group when a surgeon removes native muscle tissue in the left lower arm or wrist and inserts material to replace the muscle or its function. Codes in this group apply specifically to inpatient surgical replacement procedures involving the Muscles body system on the left lower arm and wrist.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0KRB07Z	Replacement of Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Open Approach
0KRB0JZ	Replacement of Left Lower Arm and Wrist Muscle with Synthetic Substitute, Open Approach
0KRB0KZ	Replacement of Left Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Open Approach
0KRB47Z	Replacement of Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRB4JZ	Replacement of Left Lower Arm and Wrist Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRB4KZ	Replacement of Left Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

21 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC

Showing 1–10 of 21

Typical Clinical Scenarios

An adult patient presents after a high-energy crush injury to the left forearm with extensive myonecrosis of the lower arm and wrist muscles; debridement during the index hospitalization reveals loss of functional muscle mass requiring reconstruction to restore wrist flexion and grip. The surgical team removes the nonviable native muscle and implants autologous tissue harvested from the patient to replace the lost muscle bulk and function as part of a staged inpatient reconstruction. Typical codes: 0KRB07Z
An elderly patient with chronic, painful left forearm muscle degeneration from prior radiation and scar contracture is admitted for an elective inpatient reconstruction to improve arm function and reduce chronic wound risk. The procedure involves excising fibrotic, nonfunctional lower arm and wrist muscle and placing a synthetic prosthetic muscle substitute to restore contour and assist tendon function. Typical codes: 0KRB0JZ
A middle-aged patient returns to the hospital with failure of a previous biologic graft placed in the left lower arm and wrist that has broken down and led to recurrent pain and weakness; surgical revision is required during the inpatient stay. The surgeon removes the failed nonautologous tissue graft and replaces it with a nonautologous (allogeneic or xenogeneic) tissue substitute to reestablish muscle bulk and function. Typical codes: 0KRB0KZ, 0KRB4KZ

Related Codes

0KR0-HEAD-MUSCLE-REPLACEMENT

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

0KR1-FACIAL-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Facial 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

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.

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When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0KRB07Z	Replacement of Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Open Approach
0KRB0JZ	Replacement of Left Lower Arm and Wrist Muscle with Synthetic Substitute, Open Approach
0KRB0KZ	Replacement of Left Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Open Approach
0KRB47Z	Replacement of Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRB4JZ	Replacement of Left Lower Arm and Wrist Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRB4KZ	Replacement of Left Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

21 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC

Showing 1–10 of 21

Typical Clinical Scenarios

An adult patient presents after a high-energy crush injury to the left forearm with extensive myonecrosis of the lower arm and wrist muscles; debridement during the index hospitalization reveals loss of functional muscle mass requiring reconstruction to restore wrist flexion and grip. The surgical team removes the nonviable native muscle and implants autologous tissue harvested from the patient to replace the lost muscle bulk and function as part of a staged inpatient reconstruction. Typical codes: 0KRB07Z
An elderly patient with chronic, painful left forearm muscle degeneration from prior radiation and scar contracture is admitted for an elective inpatient reconstruction to improve arm function and reduce chronic wound risk. The procedure involves excising fibrotic, nonfunctional lower arm and wrist muscle and placing a synthetic prosthetic muscle substitute to restore contour and assist tendon function. Typical codes: 0KRB0JZ
A middle-aged patient returns to the hospital with failure of a previous biologic graft placed in the left lower arm and wrist that has broken down and led to recurrent pain and weakness; surgical revision is required during the inpatient stay. The surgeon removes the failed nonautologous tissue graft and replaces it with a nonautologous (allogeneic or xenogeneic) tissue substitute to reestablish muscle bulk and function. Typical codes: 0KRB0KZ, 0KRB4KZ

Related Codes

0KR0-HEAD-MUSCLE-REPLACEMENT

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

0KR1-FACIAL-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Facial 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

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 Left Lower Arm And Wrist Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Left Lower Arm And Wrist Muscle: Procedure Code Group Overview policy alerts

Lower Arm And Wrist Muscle Left Replacement Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Left Lower Arm And Wrist Muscle: Procedure Code Group Overview policy alerts

Lower Arm And Wrist Muscle Left Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers replacement of the left lower arm and wrist muscle?

What body system and operation are represented by the codes in this group?

Which specific ICD-10-PCS codes are included in the `0KRB` group and how do they differ?

Why is accurate coding within the `0KRB` group important for inpatient care?

Which DRG categories might be related to procedures coded from the `0KRB` group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers replacement of the left lower arm and wrist muscle?

What body system and operation are represented by the codes in this group?

Which specific ICD-10-PCS codes are included in the `0KRB` group and how do they differ?

Why is accurate coding within the `0KRB` group important for inpatient care?

Which DRG categories might be related to procedures coded from the `0KRB` group?

References