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ICD-10-PCS 2027 procedure code

0QRB4KZReplacement of Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of R Low Femur with Nonaut Sub, Perc Endo 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 0QRB4KZ

0QRB4KZ is the ICD-10-PCS code for a replacement procedure on the right lower femur using a percutaneous endoscopic 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, femur, the ICD-9-CM procedure title it maps to (78.05).

For a different body part, codes include 0QR04KZ (lumbar vertebra), 0QR14KZ (sacrum), 0QR24KZ (right pelvic bone), 0QR34KZ (left pelvic bone), 0QR44KZ (right acetabulum), 0QR54KZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QRB0KZ (open) and 0QRB3KZ (percutaneous).

With a different device, use 0QRB47Z (autologous tissue substitute) and 0QRB4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 403 (Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 404 (Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCC), 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) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection”, “Hip and Femur Procedures Except Major Joint”, “Other O.R. Procedures for Injuries” and 1 more.

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
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize 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.

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 0QRB4KZ

Is 0QRB4KZ a valid ICD-10-PCS code for 2027?

Yes. 0QRB4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QRB4KZ an O.R. procedure?

Yes. 0QRB4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QRB4KZ group to?

Depending on the principal diagnosis, 0QRB4KZ can group to MS-DRG 403, MS-DRG 404, MS-DRG 480, MS-DRG 481, MS-DRG 482 and MS-DRG 907.

What is the ICD-9 procedure code for 0QRB4KZ?

The CMS GEMs map 0QRB4KZ to ICD-9-CM 78.05 (Bone graft, femur).