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ICD-10-PCS 2027 procedure code

0MRP4KZReplacement of Left Knee Bursa and Ligament with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace L Knee Bursa/Lig w Nonaut Sub, Perc Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0MRP4KZ

0MRP4KZ is the ICD-10-PCS code for a replacement procedure on the left knee bursa and ligament 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 other repair of joint, the ICD-9-CM procedure title it maps to (81.96).

For a different body part, codes include 0MR04KZ (head and neck bursa and ligament), 0MR14KZ (right shoulder bursa and ligament), 0MR24KZ (left shoulder bursa and ligament), 0MR34KZ (right elbow bursa and ligament), 0MR44KZ (left elbow bursa and ligament), 0MR54KZ (right wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0MRP0KZ (open).

With a different device, use 0MRP47Z (autologous tissue substitute) and 0MRP4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 400 (Knee Procedures with Principal Diagnosis of Infection), DRG 488 (Knee Procedures without Principal Diagnosis of Infection with CC/MCC), DRG 489 (Knee Procedures without Principal Diagnosis of Infection 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 “Knee Procedures with Principal Diagnosis of Infection”, “Knee Procedures without Principal Diagnosis of Infection”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
MBursae and Ligaments
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
PKnee Bursa and Ligament, Left

Includes: Anterior cruciate ligament (ACL); Lateral collateral ligament (LCL); Ligament of head of fibula; Medial collateral ligament (MCL); Patellar ligament; Popliteal ligament; Posterior cruciate ligament (PCL); Prepatellar bursa

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 · Knee Procedures with Principal Diagnosis of Infection

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures without Principal Diagnosis of Infection

ICD-9-CM equivalent

Converter →
  • 81.96Other repair of jointapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0MRP4KZ

Is 0MRP4KZ a valid ICD-10-PCS code for 2027?

Yes. 0MRP4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0MRP4KZ an O.R. procedure?

Yes. 0MRP4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0MRP4KZ group to?

Depending on the principal diagnosis, 0MRP4KZ can group to MS-DRG 400, MS-DRG 488, MS-DRG 489, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0MRP4KZ?

The CMS GEMs map 0MRP4KZ to ICD-9-CM 81.96 (Other repair of joint).