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ICD-10-PCS 2027 procedure code

0QRF47ZReplacement of Left Patella with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of L Patella with Autol 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 0QRF47Z

0QRF47Z is the ICD-10-PCS code for a replacement procedure on the left patella using a percutaneous endoscopic 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, patella, the ICD-9-CM procedure title it maps to (78.06).

For a different body part, codes include 0QR047Z (lumbar vertebra), 0QR147Z (sacrum), 0QR247Z (right pelvic bone), 0QR347Z (left pelvic bone), 0QR447Z (right acetabulum), 0QR547Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QRF07Z (open) and 0QRF37Z (percutaneous).

With a different device, use 0QRF4JZ (synthetic substitute) and 0QRF4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 400 (Knee Procedures with Principal Diagnosis of Infection), DRG 488 (Knee Procedures without Principal Diagnosis of Infection with CC/MCC), DRG 489 (Knee Procedures without Principal Diagnosis of Infection 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 “Knee Procedures with Principal Diagnosis of Infection”, “Knee Procedures without Principal Diagnosis of Infection”, “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
FPatella, Left
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
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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures with Principal Diagnosis of Infection

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures without Principal Diagnosis of Infection

ICD-9-CM equivalent

Converter →
  • 78.06Bone graft, patellaapproximate

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 0QRF47Z

Is 0QRF47Z a valid ICD-10-PCS code for 2027?

Yes. 0QRF47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QRF47Z an O.R. procedure?

Yes. 0QRF47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QRF47Z group to?

Depending on the principal diagnosis, 0QRF47Z can group to MS-DRG 400, MS-DRG 488, MS-DRG 489, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QRF47Z?

The CMS GEMs map 0QRF47Z to ICD-9-CM 78.06 (Bone graft, patella).