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ICD-10-PCS 2027 procedure code

0QUG0KZSupplement Right Tibia with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Right Tibia with Nonaut Sub, Open 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 0QUG0KZ

0QUG0KZ is the ICD-10-PCS code for a supplement procedure on the right tibia using an open approach with nonautologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of 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 0QU00KZ (lumbar vertebra), 0QU10KZ (sacrum), 0QU20KZ (right pelvic bone), 0QU30KZ (left pelvic bone), 0QU40KZ (right acetabulum), 0QU50KZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QUG3KZ (percutaneous) and 0QUG4KZ (percutaneous endoscopic).

With a different device, use 0QUG07Z (autologous tissue substitute) and 0QUG0JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for 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), 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 “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. 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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
GTibia, Right
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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 0QUG0KZ

Is 0QUG0KZ a valid ICD-10-PCS code for 2027?

Yes. 0QUG0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QUG0KZ an O.R. procedure?

Yes. 0QUG0KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QUG0KZ group to?

Depending on the principal diagnosis, 0QUG0KZ can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QUG0KZ?

The CMS GEMs map 0QUG0KZ to ICD-9-CM 78.07 (Bone graft, tibia and fibula).