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ICD-10-PCS 2027 procedure code

0QRB37ZReplacement of Right Lower Femur with Autologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Low Femur with Autol 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 0QRB37Z

0QRB37Z is the ICD-10-PCS code for a replacement procedure on the right lower femur using a percutaneous approach with autologous 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, femur, the ICD-9-CM procedure title it maps to (78.05).

For a different body part, codes include 0QR037Z (lumbar vertebra), 0QR137Z (sacrum), 0QR237Z (right pelvic bone), 0QR337Z (left pelvic bone), 0QR437Z (right acetabulum), 0QR537Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QRB07Z (open) and 0QRB47Z (percutaneous endoscopic).

With a different device, use 0QRB3JZ (synthetic substitute) and 0QRB3KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 480 (Hip and Femur Procedures Except Major Joint with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 481 (Hip and Femur Procedures Except Major Joint with CC), DRG 482 (Hip and Femur Procedures Except Major Joint 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 “Hip and Femur Procedures Except Major Joint”, “Other O.R. Procedures for Injuries” and “Limb Reattachment, Hip and Femur 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
BLower Femur, 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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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.

MDC 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 78.05Bone graft, femurapproximate

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 0QRB37Z

Is 0QRB37Z a valid ICD-10-PCS code for 2027?

Yes. 0QRB37Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QRB37Z an O.R. procedure?

Yes. 0QRB37Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QRB37Z group to?

Depending on the principal diagnosis, 0QRB37Z can group to MS-DRG 480, MS-DRG 481, MS-DRG 482, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QRB37Z?

The CMS GEMs map 0QRB37Z to ICD-9-CM 78.05 (Bone graft, femur).