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ICD-10-PCS 2027 procedure code

0PR10JZReplacement of 1 to 2 Ribs with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of 1 to 2 Ribs with Synth Sub, Open Approach

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 0PR10JZ

0PR10JZ is the ICD-10-PCS code for a replacement procedure on the ribs, 1 to 2 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 other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (78.41).

For a different body part, codes include 0PR00JZ (sternum), 0PR20JZ (ribs, 3 or more), 0PR30JZ (cervical vertebra), 0PR40JZ (thoracic vertebra), 0PR50JZ (right scapula), 0PR60JZ (left scapula) and 20 more.

The same procedure with a different approach is coded 0PR13JZ (percutaneous) and 0PR14JZ (percutaneous endoscopic).

With a different device, use 0PR107Z (autologous tissue substitute) and 0PR10KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC), DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Respiratory System O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. 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
PUpper 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
1Ribs, 1 to 2
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.

ICD-9-CM equivalent

Converter →
  • 78.41Other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum]approximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Replacement of Right Rib with Synthetic Substitute, Open Approach”

Common questions about 0PR10JZ

Is 0PR10JZ a valid ICD-10-PCS code for 2027?

Yes. 0PR10JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PR10JZ an O.R. procedure?

Yes. 0PR10JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PR10JZ group to?

Depending on the principal diagnosis, 0PR10JZ can group to MS-DRG 166, MS-DRG 167, MS-DRG 168, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PR10JZ?

The CMS GEMs map 0PR10JZ to ICD-9-CM 78.41 (Other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum]).