ICD-10-PCS 2027 procedure code
0RUG0KZSupplement Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
Short description: Supplement R Acromioclav 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 0RUG0KZ
0RUG0KZ is the ICD-10-PCS code for a supplement procedure on the right acromioclavicular joint 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 other repair of shoulder, the ICD-9-CM procedure title it maps to (81.83).
For a different body part, codes include 0RU00KZ (occipital-cervical joint), 0RU10KZ (cervical vertebral joint), 0RU30KZ (cervical vertebral disc), 0RU40KZ (cervicothoracic vertebral joint), 0RU50KZ (cervicothoracic vertebral disc), 0RU60KZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RUG3KZ (percutaneous) and 0RUG4KZ (percutaneous endoscopic).
With a different device, use 0RUG07Z (autologous tissue substitute) and 0RUG0JZ (synthetic substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 507 (Major Shoulder or Elbow Joint Procedures with CC/MCC), DRG 508 (Major Shoulder or Elbow Joint Procedures without CC/MCC), 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) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Major Shoulder or Elbow Joint Procedures”, “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
- 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
- GAcromioclavicular 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
Different body part
- 0RU00KZOccipital-cervical Joint
- 0RU10KZCervical Vertebral Joint
- 0RU30KZCervical Vertebral Disc
- 0RU40KZCervicothoracic Vertebral Joint
- 0RU50KZCervicothoracic Vertebral Disc
- 0RU60KZThoracic Vertebral Joint
- 0RU90KZThoracic Vertebral Disc
- 0RUA0KZThoracolumbar Vertebral Joint
- 0RUB0KZThoracolumbar Vertebral Disc
- 0RUC0KZTemporomandibular Joint, Right
- 0RUD0KZTemporomandibular Joint, Left
- 0RUE0KZSternoclavicular Joint, Right
Different approach
Different device
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 Shoulder or Elbow Joint Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 81.83Other repair of shoulderapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RUG0KZ
Is 0RUG0KZ a valid ICD-10-PCS code for 2027?
- Yes. 0RUG0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RUG0KZ an O.R. procedure?
- Yes. 0RUG0KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RUG0KZ group to?
- Depending on the principal diagnosis, 0RUG0KZ can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.
What is the ICD-9 procedure code for 0RUG0KZ?
- The CMS GEMs map 0RUG0KZ to ICD-9-CM 81.83 (Other repair of shoulder).