0SR9069Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach

0SR9069 is the ICD-10-PCS code for a replacement procedure on the right hip joint using an open approach with synthetic substitute, oxidized zirconium on polyethylene (qualifier: cemented). 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-polyethylene and total hip replacement, the ICD-9-CM procedure titles it maps to (00.77 and 81.51).

For a different body part, codes include 0SRB069 (left hip joint), 0SRC069 (right knee joint) and 0SRD069 (left knee joint).

With a different device, use 0SR9019 (synthetic substitute, metal), 0SR9029 (synthetic substitute, metal on polyethylene), 0SR9039 (synthetic substitute, ceramic), 0SR9049 (synthetic substitute, ceramic on polyethylene) and 0SR90J9 (synthetic substitute).

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 was added in FY2018, effective October 1, 2017.