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ICD-10-PCS 2027 procedure code

0RRJ00ZReplacement of Right Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of R Shoulder Jt with Rev Bl & Sockt, 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 0RRJ00Z

0RRJ00Z is the ICD-10-PCS code for a replacement procedure on the right shoulder joint using an open approach with synthetic substitute, reverse ball and socket. 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 Reverse total shoulder replacement, the ICD-9-CM procedure title it maps to (81.88).

For a different body part, codes include 0RRK00Z (left shoulder joint).

With a different device, use 0RRJ07Z (autologous tissue substitute), 0RRJ0JZ (synthetic substitute) and 0RRJ0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 483 (Major Joint or Limb Reattachment Procedures of Upper Extremities), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC) and DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC), under the surgical categories “Major Joint or Limb Reattachment Procedures of Upper Extremities”, “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
RUpper Joints
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
JShoulder Joint, 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
0Synthetic Substitute, Reverse Ball and Socket
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

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 · Major Joint or Limb Reattachment Procedures of Upper Extremities

ICD-9-CM equivalent

Converter →
  • 81.88Reverse total shoulder replacementapproximate

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 0RRJ00Z

Is 0RRJ00Z a valid ICD-10-PCS code for 2027?

Yes. 0RRJ00Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RRJ00Z an O.R. procedure?

Yes. 0RRJ00Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RRJ00Z group to?

Depending on the principal diagnosis, 0RRJ00Z can group to MS-DRG 483, MS-DRG 907, MS-DRG 908, MS-DRG 909, MS-DRG 957 and MS-DRG 958.

What is the ICD-9 procedure code for 0RRJ00Z?

The CMS GEMs map 0RRJ00Z to ICD-9-CM 81.88 (Reverse total shoulder replacement).