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ICD-10-PCS 2027 procedure code

0PR90KZReplacement of Right Clavicle with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Right Clavicle with Nonaut 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 0PR90KZ

0PR90KZ is the ICD-10-PCS code for a replacement procedure on the right clavicle using an open 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 bone graft, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (78.01).

For a different body part, codes include 0PR00KZ (sternum), 0PR10KZ (ribs, 1 to 2), 0PR20KZ (ribs, 3 or more), 0PR30KZ (cervical vertebra), 0PR40KZ (thoracic vertebra), 0PR50KZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PR93KZ (percutaneous) and 0PR94KZ (percutaneous endoscopic).

With a different device, use 0PR907Z (autologous tissue substitute) and 0PR90JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for 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 category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.

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
9Clavicle, Right
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
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

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 →
  • 78.01Bone graft, 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)
  • No changes since FY2016.

Common questions about 0PR90KZ

Is 0PR90KZ a valid ICD-10-PCS code for 2027?

Yes. 0PR90KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PR90KZ an O.R. procedure?

Yes. 0PR90KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PR90KZ group to?

Depending on the principal diagnosis, 0PR90KZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PR90KZ?

The CMS GEMs map 0PR90KZ to ICD-9-CM 78.01 (Bone graft, scapula, clavicle, and thorax [ribs and sternum]).