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ICD-10-PCS 2027 procedure code

0PRK3KZReplacement of Right Ulna with Nonautologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Right Ulna with Nonaut Sub, Perc 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 0PRK3KZ

0PRK3KZ is the ICD-10-PCS code for a replacement procedure on the right ulna using a percutaneous 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, radius and ulna, the ICD-9-CM procedure title it maps to (78.03).

For a different body part, codes include 0PR03KZ (sternum), 0PR13KZ (ribs, 1 to 2), 0PR23KZ (ribs, 3 or more), 0PR33KZ (cervical vertebra), 0PR43KZ (thoracic vertebra), 0PR53KZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PRK0KZ (open) and 0PRK4KZ (percutaneous endoscopic).

With a different device, use 0PRK37Z (autologous tissue substitute) and 0PRK3JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 510 (Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC), DRG 511 (Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC), DRG 512 (Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 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 “Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
KUlna, Right
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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 →
  • 78.03Bone graft, radius and ulnaapproximate

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 0PRK3KZ

Is 0PRK3KZ a valid ICD-10-PCS code for 2027?

Yes. 0PRK3KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PRK3KZ an O.R. procedure?

Yes. 0PRK3KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PRK3KZ group to?

Depending on the principal diagnosis, 0PRK3KZ can group to MS-DRG 510, MS-DRG 511, MS-DRG 512, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0PRK3KZ?

The CMS GEMs map 0PRK3KZ to ICD-9-CM 78.03 (Bone graft, radius and ulna).