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ICD-10-PCS 2027 procedure code

0RRL07ZReplacement of Right Elbow Joint with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Elbow Jt with Autol 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 0RRL07Z

0RRL07Z is the ICD-10-PCS code for a replacement procedure on the right elbow joint 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 total elbow replacement, the ICD-9-CM procedure title it maps to (81.84).

For a different body part, codes include 0RR007Z (occipital-cervical joint), 0RR107Z (cervical vertebral joint), 0RR307Z (cervical vertebral disc), 0RR407Z (cervicothoracic vertebral joint), 0RR507Z (cervicothoracic vertebral disc), 0RR607Z (thoracic vertebral joint) and 22 more.

With a different device, use 0RRL0JZ (synthetic substitute) and 0RRL0KZ (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
LElbow 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
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 · Major Joint or Limb Reattachment Procedures of Upper Extremities

ICD-9-CM equivalent

Converter →
  • 81.84Total elbow 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 0RRL07Z

Is 0RRL07Z a valid ICD-10-PCS code for 2027?

Yes. 0RRL07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RRL07Z an O.R. procedure?

Yes. 0RRL07Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RRL07Z group to?

Depending on the principal diagnosis, 0RRL07Z 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 0RRL07Z?

The CMS GEMs map 0RRL07Z to ICD-9-CM 81.84 (Total elbow replacement).