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ICD-10-PCS 2027 procedure code

0RRL0KZReplacement of Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Elbow Jt 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 0RRL0KZ

0RRL0KZ is the ICD-10-PCS code for a replacement procedure on the right elbow joint using an open 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 total elbow replacement, the ICD-9-CM procedure title it maps to (81.84).

For a different body part, codes include 0RR00KZ (occipital-cervical joint), 0RR10KZ (cervical vertebral joint), 0RR30KZ (cervical vertebral disc), 0RR40KZ (cervicothoracic vertebral joint), 0RR50KZ (cervicothoracic vertebral disc), 0RR60KZ (thoracic vertebral joint) and 22 more.

With a different device, use 0RRL07Z (autologous tissue substitute) and 0RRL0JZ (synthetic 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
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.

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 0RRL0KZ

Is 0RRL0KZ a valid ICD-10-PCS code for 2027?

Yes. 0RRL0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RRL0KZ an O.R. procedure?

Yes. 0RRL0KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RRL0KZ group to?

Depending on the principal diagnosis, 0RRL0KZ 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 0RRL0KZ?

The CMS GEMs map 0RRL0KZ to ICD-9-CM 81.84 (Total elbow replacement).