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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XHRP includes procedures performed to replace portions of the skin with bioengineered allogeneic constructs in the skin, subcutaneous tissue, fascia and breast body system. These ICD-10-PCS codes are used for inpatient documentation when skin replacement with an externally applied bioengineered allogeneic construct is performed to restore skin integrity or function. Accurate coding within the ICD-10-PCS XHRP group is essential for proper inpatient reimbursement, as it captures the replacement procedure performed and supports clinical documentation accuracy.

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Skin Replacement Procedure Overview

Procedures in this group involve replacement of skin using bioengineered allogeneic constructs applied externally and target the skin, subcutaneous tissue, fascia, and breast body system. These are New Technology section procedures classified under the International Classification of Diseases, Tenth Revision, Procedure Coding System and represent insertion of a material that replaces or takes the function of skin. Accurate coding ensures the inpatient record reflects the replacement operation and supports appropriate case mix grouping and reimbursement. Precise documentation of the construct type, approach, and treated skin site is required for correct code assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
H	Body System	Skin, Subcutaneous Tissue, Fascia and Breast
R	Operation	Replacement
P	Body Part	Skin

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

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Skin Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
H	Body System	Skin, Subcutaneous Tissue, Fascia and Breast
R	Operation	Replacement
P	Body Part	Skin

When to Use

Use codes from this group when a bioengineered allogeneic construct is placed to replace or restore skin tissue externally. Select the code when documentation indicates a replacement operation on skin within the skin, subcutaneous tissue, fascia, and breast body system.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
XHRPXF7	Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7

DRG Codes

29 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
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

Showing 1–10 of 29

Typical Clinical Scenarios

A middle-aged patient is admitted after sustaining a full-thickness skin loss from a large traumatic avulsion of the thigh with exposed subcutaneous tissue. The wound bed is debrided and an externally applied bioengineered allogeneic skin construct is placed to replace the lost skin and promote epithelial coverage during the inpatient stay. The procedure is performed to restore skin integrity and reduce risk of infection while monitoring for graft take. Typical codes: XHRPXF7
An elderly patient with a chronic non-healing venous leg ulcer refractory to conservative care is admitted electively for a staged wound management plan. After appropriate surgical preparation of the ulcer bed, an externally applied bioengineered allogeneic skin construct is placed to replace deficient skin and facilitate durable closure under inpatient observation. The intervention is selected to improve wound healing when outpatient therapies have failed. Typical codes: XHRPXF7
A patient is readmitted for management of a previously placed skin graft site that developed partial graft loss and persistent open areas with exposed subcutaneous tissue. Following debridement of nonviable tissue and assessment of the defect, an externally applied bioengineered allogeneic skin construct is used as a replacement to reestablish coverage and support tissue regeneration during the inpatient course. The procedure addresses the complication of prior graft failure and aims to achieve definitive closure. Typical codes: XHRPXF7

Related Codes

XHR0-HEAD-AND-NECK-REPLACEMENT

ICD-10-PCS Code For Head And Neck: Procedure Code Group Overview

XHR1-CHEST-REPLACEMENT

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

XHR2-ABDOMEN-REPLACEMENT

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

XHR3-BACK-REPLACEMENT

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

XHR4-RIGHT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

XHR5-LEFT-UPPER-EXTREMITY-REPLACEMENT

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

XHR6-RIGHT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

XHR7-LEFT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

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
XHRPXF7	Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7

DRG Codes

29 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
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

Showing 1–10 of 29

Typical Clinical Scenarios

A middle-aged patient is admitted after sustaining a full-thickness skin loss from a large traumatic avulsion of the thigh with exposed subcutaneous tissue. The wound bed is debrided and an externally applied bioengineered allogeneic skin construct is placed to replace the lost skin and promote epithelial coverage during the inpatient stay. The procedure is performed to restore skin integrity and reduce risk of infection while monitoring for graft take. Typical codes: XHRPXF7
An elderly patient with a chronic non-healing venous leg ulcer refractory to conservative care is admitted electively for a staged wound management plan. After appropriate surgical preparation of the ulcer bed, an externally applied bioengineered allogeneic skin construct is placed to replace deficient skin and facilitate durable closure under inpatient observation. The intervention is selected to improve wound healing when outpatient therapies have failed. Typical codes: XHRPXF7
A patient is readmitted for management of a previously placed skin graft site that developed partial graft loss and persistent open areas with exposed subcutaneous tissue. Following debridement of nonviable tissue and assessment of the defect, an externally applied bioengineered allogeneic skin construct is used as a replacement to reestablish coverage and support tissue regeneration during the inpatient course. The procedure addresses the complication of prior graft failure and aims to achieve definitive closure. Typical codes: XHRPXF7

Related Codes

XHR0-HEAD-AND-NECK-REPLACEMENT

ICD-10-PCS Code For Head And Neck: Procedure Code Group Overview

XHR1-CHEST-REPLACEMENT

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

XHR2-ABDOMEN-REPLACEMENT

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

XHR3-BACK-REPLACEMENT

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

XHR4-RIGHT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

XHR5-LEFT-UPPER-EXTREMITY-REPLACEMENT

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

XHR6-RIGHT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

XHR7-LEFT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

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: Procedure Code Group Overview

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

Skin Replacement Procedure Overview

Code Attributes

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

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

Skin Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group XHRP?

Which specific ICD-10-PCS code represents this procedure group?

What documentation elements are required for correct code assignment in XHRP?

How does coding XHRP procedures affect inpatient reimbursement and records?

Which DRGs may be related to procedures coded in the XHRP group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group XHRP?

Which specific ICD-10-PCS code represents this procedure group?

What documentation elements are required for correct code assignment in XHRP?

How does coding XHRP procedures affect inpatient reimbursement and records?

Which DRGs may be related to procedures coded in the XHRP group?

References