ICD-10-PCS 2027 procedure code
0RUL37ZSupplement Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach
Short description: Supplement Right Elbow Joint with Autol Sub, Perc 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 0RUL37Z
0RUL37Z is the ICD-10-PCS code for a supplement procedure on the right elbow joint using a percutaneous approach with autologous 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 elbow, the ICD-9-CM procedure title it maps to (81.85).
For a different body part, codes include 0RU037Z (occipital-cervical joint), 0RU137Z (cervical vertebral joint), 0RU337Z (cervical vertebral disc), 0RU437Z (cervicothoracic vertebral joint), 0RU537Z (cervicothoracic vertebral disc), 0RU637Z (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RUL07Z (open) and 0RUL47Z (percutaneous endoscopic).
With a different device, use 0RUL3JZ (synthetic substitute) and 0RUL3KZ (nonautologous tissue 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
- LElbow Joint, Right
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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
Different body part
- 0RU037ZOccipital-cervical Joint
- 0RU137ZCervical Vertebral Joint
- 0RU337ZCervical Vertebral Disc
- 0RU437ZCervicothoracic Vertebral Joint
- 0RU537ZCervicothoracic Vertebral Disc
- 0RU637ZThoracic Vertebral Joint
- 0RU937ZThoracic Vertebral Disc
- 0RUA37ZThoracolumbar Vertebral Joint
- 0RUB37ZThoracolumbar Vertebral Disc
- 0RUC37ZTemporomandibular Joint, Right
- 0RUD37ZTemporomandibular Joint, Left
- 0RUE37ZSternoclavicular Joint, Right
Different approach
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 →- 81.85Other repair of elbowapproximate
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 0RUL37Z
Is 0RUL37Z a valid ICD-10-PCS code for 2027?
- Yes. 0RUL37Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RUL37Z an O.R. procedure?
- Yes. 0RUL37Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RUL37Z group to?
- Depending on the principal diagnosis, 0RUL37Z 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 0RUL37Z?
- The CMS GEMs map 0RUL37Z to ICD-9-CM 81.85 (Other repair of elbow).