0QRG07ZReplacement of Right Tibia with Autologous Tissue Substitute, Open Approach

0QRG07Z is the ICD-10-PCS code for a replacement procedure on the right tibia using an open 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, tibia and fibula, the ICD-9-CM procedure title it maps to (78.07).

For a different body part, codes include 0QR007Z (lumbar vertebra), 0QR107Z (sacrum), 0QR207Z (right pelvic bone), 0QR307Z (left pelvic bone), 0QR407Z (right acetabulum), 0QR507Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QRG37Z (percutaneous) and 0QRG47Z (percutaneous endoscopic).

With a different device, use 0QRG0JZ (synthetic substitute) and 0QRG0KZ (nonautologous tissue 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 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur 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”, “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.