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ICD-10-PCS 2027 procedure code

0NRQ0JZReplacement of Left Orbit with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Left Orbit with Synth Sub, Open 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 0NRQ0JZ

0NRQ0JZ is the ICD-10-PCS code for a replacement procedure on the left orbit using an open approach with synthetic 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 orbitotomy with insertion of orbital implant, the ICD-9-CM procedure title it maps to (16.02).

For a different body part, codes include 0NR00JZ (skull), 0NR10JZ (frontal bone), 0NR30JZ (right parietal bone), 0NR40JZ (left parietal bone), 0NR50JZ (right temporal bone), 0NR60JZ (left temporal bone) and 16 more.

The same procedure with a different approach is coded 0NRQ3JZ (percutaneous) and 0NRQ4JZ (percutaneous endoscopic).

With a different device, use 0NRQ07Z (autologous tissue substitute) and 0NRQ0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 113 (Orbital Procedures with CC/MCC), DRG 114 (Orbital Procedures without CC/MCC), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Orbital Procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
NHead and Facial Bones
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
QOrbit, Left

Includes: Bony orbit; Orbital portion of ethmoid bone; Orbital portion of frontal bone; Orbital portion of lacrimal bone; Orbital portion of maxilla; Orbital portion of palatine bone; Orbital portion of sphenoid bone; Orbital portion of zygomatic bone

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

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

MDC 02 · Diseases and Disorders of the Eye · Orbital Procedures

ICD-9-CM equivalent

Converter →
  • 16.02Orbitotomy with insertion of orbital implantapproximate

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 0NRQ0JZ

Is 0NRQ0JZ a valid ICD-10-PCS code for 2027?

Yes. 0NRQ0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NRQ0JZ an O.R. procedure?

Yes. 0NRQ0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NRQ0JZ group to?

Depending on the principal diagnosis, 0NRQ0JZ can group to MS-DRG 113, MS-DRG 114, MS-DRG 143, MS-DRG 144, MS-DRG 145 and MS-DRG 907.

What is the ICD-9 procedure code for 0NRQ0JZ?

The CMS GEMs map 0NRQ0JZ to ICD-9-CM 16.02 (Orbitotomy with insertion of orbital implant).