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ICD-10-PCS 2027 procedure code

0QR23KZReplacement of Right Pelvic Bone with Nonautologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Pelvic Bone 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 0QR23KZ

0QR23KZ is the ICD-10-PCS code for a replacement procedure on the right pelvic bone 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, other bones, the ICD-9-CM procedure title it maps to (78.09).

For a different body part, codes include 0QR03KZ (lumbar vertebra), 0QR13KZ (sacrum), 0QR33KZ (left pelvic bone), 0QR43KZ (right acetabulum), 0QR53KZ (left acetabulum), 0QR63KZ (right upper femur) and 18 more.

The same procedure with a different approach is coded 0QR20KZ (open) and 0QR24KZ (percutaneous endoscopic).

With a different device, use 0QR237Z (autologous tissue substitute) and 0QR23JZ (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), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC) and DRG 959 (Other O.R. Procedures for Multiple Significant Trauma without CC/MCC), under the surgical categories “Other Musculoskeletal System and Connective Tissue O.R. Procedures” 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
QLower 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
2Pelvic Bone, 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 →
  • 78.09Bone graft, other bonesapproximate

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 0QR23KZ

Is 0QR23KZ a valid ICD-10-PCS code for 2027?

Yes. 0QR23KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QR23KZ an O.R. procedure?

Yes. 0QR23KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QR23KZ group to?

Depending on the principal diagnosis, 0QR23KZ can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 957, MS-DRG 958 and MS-DRG 959.

What is the ICD-9 procedure code for 0QR23KZ?

The CMS GEMs map 0QR23KZ to ICD-9-CM 78.09 (Bone graft, other bones).