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ICD-10-PCS 2027 procedure code

0LRW4KZReplacement of Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of L Foot Tendon with Nonaut Sub, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0LRW4KZ

0LRW4KZ is the ICD-10-PCS code for a replacement procedure on the left foot tendon using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to tendon graft, the ICD-9-CM procedure title it maps to (83.81).

For a different body part, codes include 0LR04KZ (head and neck tendon), 0LR14KZ (right shoulder tendon), 0LR24KZ (left shoulder tendon), 0LR34KZ (right upper arm tendon), 0LR44KZ (left upper arm tendon), 0LR54KZ (right lower arm and wrist tendon) and 21 more.

The same procedure with a different approach is coded 0LRW0KZ (open).

With a different device, use 0LRW47Z (autologous tissue substitute) and 0LRW4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 500 (Soft Tissue Procedures with MCC), DRG 501 (Soft Tissue Procedures with CC), DRG 502 (Soft Tissue Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Soft Tissue Procedures” and “Other O.R. Procedures for Injuries”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
LTendons
3. Operation
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
WFoot Tendon, Left
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Soft Tissue Procedures

ICD-9-CM equivalent

Converter →
  • 83.81Tendon graftapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0LRW4KZ

Is 0LRW4KZ a valid ICD-10-PCS code for 2027?

Yes. 0LRW4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0LRW4KZ an O.R. procedure?

Yes. 0LRW4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0LRW4KZ group to?

Depending on the principal diagnosis, 0LRW4KZ can group to MS-DRG 500, MS-DRG 501, MS-DRG 502, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0LRW4KZ?

The CMS GEMs map 0LRW4KZ to ICD-9-CM 83.81 (Tendon graft).