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ICD-10-PCS 2027 procedure code

0PRC0JZReplacement of Right Humeral Head with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Humeral Head 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 0PRC0JZ

0PRC0JZ is the ICD-10-PCS code for a replacement procedure on the right humeral head 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, humerus, the ICD-9-CM procedure title it maps to (78.42).

For a different body part, codes include 0PR00JZ (sternum), 0PR10JZ (ribs, 1 to 2), 0PR20JZ (ribs, 3 or more), 0PR30JZ (cervical vertebra), 0PR40JZ (thoracic vertebra), 0PR50JZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PRC3JZ (percutaneous) and 0PRC4JZ (percutaneous endoscopic).

With a different device, use 0PRC07Z (autologous tissue substitute) and 0PRC0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC) and DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), under the surgical category “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”.

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
CHumeral Head, 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
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 →
  • 78.42Other repair or plastic operations on bone, humerusapproximate

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 0PRC0JZ

Is 0PRC0JZ a valid ICD-10-PCS code for 2027?

Yes. 0PRC0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PRC0JZ an O.R. procedure?

Yes. 0PRC0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PRC0JZ group to?

Depending on the principal diagnosis, 0PRC0JZ can group to MS-DRG 492, MS-DRG 493 and MS-DRG 494.

What is the ICD-9 procedure code for 0PRC0JZ?

The CMS GEMs map 0PRC0JZ to ICD-9-CM 78.42 (Other repair or plastic operations on bone, humerus).