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ICD-10-PCS 2027 procedure code

0QRG4KZReplacement of Right Tibia with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Tibia 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 0QRG4KZ

0QRG4KZ is the ICD-10-PCS code for a replacement procedure on the right tibia 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, tibia and fibula, the ICD-9-CM procedure title it maps to (78.07).

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 0QRG0KZ (open) and 0QRG3KZ (percutaneous).

With a different device, use 0QRG47Z (autologous tissue substitute) and 0QRG4JZ (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 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.

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
GTibia, 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.

ICD-9-CM equivalent

Converter →
  • 78.07Bone graft, tibia and fibulaapproximate

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 0QRG4KZ

Is 0QRG4KZ a valid ICD-10-PCS code for 2027?

Yes. 0QRG4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QRG4KZ an O.R. procedure?

Yes. 0QRG4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QRG4KZ group to?

Depending on the principal diagnosis, 0QRG4KZ can group to MS-DRG 403, MS-DRG 404, MS-DRG 492, MS-DRG 493, MS-DRG 494 and MS-DRG 907.

What is the ICD-9 procedure code for 0QRG4KZ?

The CMS GEMs map 0QRG4KZ to ICD-9-CM 78.07 (Bone graft, tibia and fibula).