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ICD-10-PCS 2027 procedure code

0SR903ZReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Right Hip Joint with Ceramic, 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 0SR903Z

0SR903Z is the ICD-10-PCS code for a replacement procedure on the right hip joint using an open approach with synthetic substitute, ceramic. 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 hip bearing surface, ceramic-on-ceramic, total hip replacement and total hip replacement, the ICD-9-CM procedure titles it maps to (00.76, 81.51 and 81.51).

For a different body part, codes include 0SRA03Z (right hip joint, acetabular surface), 0SRB03Z (left hip joint), 0SRE03Z (left hip joint, acetabular surface), 0SRR03Z (right hip joint, femoral surface) and 0SRS03Z (left hip joint, femoral surface).

With a different device, use 0SR901Z (synthetic substitute, metal), 0SR902Z (synthetic substitute, metal on polyethylene), 0SR904Z (synthetic substitute, ceramic on polyethylene), 0SR906Z (synthetic substitute, oxidized zirconium on polyethylene), 0SR907Z (autologous tissue substitute), 0SR90EZ (articulating spacer) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 461 (Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC), DRG 462 (Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC), DRG 469 (Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement), DRG 470 (Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC), DRG 521 (Hip Replacement with Principal Diagnosis of Hip Fracture with MCC) and DRG 522 (Hip Replacement with Principal Diagnosis of Hip Fracture without MCC), under the surgical categories “Bilateral or Multiple Major Joint Procedures of Lower Extremity”, “Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity or Total Ankle Replacement”, “Hip Replacement with Principal Diagnosis of Hip Fracture” and 2 more.

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
SLower 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
9Hip 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
3Synthetic Substitute, Ceramic
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 · Bilateral or Multiple Major Joint Procedures of Lower Extremity

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity or Total Ankle Replacement

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hip Replacement with Principal Diagnosis of Hip Fracture

MDC 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Bilateral or Multiple Major Joint Procedures of Lower Extremity

ICD-9-CM equivalent

Converter →
  • 00.76Hip bearing surface, ceramic-on-ceramicapproximate, combination
  • 81.51Total hip replacementapproximate
  • 81.51Total hip replacementapproximate, combination

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 0SR903Z

Is 0SR903Z a valid ICD-10-PCS code for 2027?

Yes. 0SR903Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SR903Z an O.R. procedure?

Yes. 0SR903Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SR903Z group to?

Depending on the principal diagnosis, 0SR903Z can group to MS-DRG 461, MS-DRG 462, MS-DRG 469, MS-DRG 470, MS-DRG 521 and MS-DRG 522.

What is the ICD-9 procedure code for 0SR903Z?

The CMS GEMs map 0SR903Z to ICD-9-CM 00.76 (Hip bearing surface, ceramic-on-ceramic), 81.51 (Total hip replacement) and 81.51 (Total hip replacement).