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ICD-10-PCS 2027 procedure code

0SRC069Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replace R Knee Jt w Zirc on Poly, Cement, Open

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0SRC069

0SRC069 is the ICD-10-PCS code for a replacement procedure on the right knee 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 total knee replacement, the ICD-9-CM procedure title it maps to (81.54).

For a different body part, codes include 0SR9069 (right hip joint), 0SRB069 (left hip joint) and 0SRD069 (left knee joint).

With a different device, use 0SRC0J9 (synthetic substitute), 0SRC0L9 (synthetic substitute, unicondylar medial), 0SRC0M9 (synthetic substitute, unicondylar lateral) and 0SRC0N9 (synthetic substitute, patellofemoral).

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 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), 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”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2018, effective October 1, 2017.

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
CKnee 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
6Synthetic Substitute, Oxidized Zirconium on Polyethylene
7. Qualifier
9Cemented

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 · Bilateral or Multiple Major Joint Procedures of Lower Extremity

ICD-9-CM equivalent

Converter →
  • 81.54Total knee 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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0SRC069

Is 0SRC069 a valid ICD-10-PCS code for 2027?

Yes. 0SRC069 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SRC069 an O.R. procedure?

Yes. 0SRC069 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SRC069 group to?

Depending on the principal diagnosis, 0SRC069 can group to MS-DRG 461, MS-DRG 462, MS-DRG 469, MS-DRG 470, MS-DRG 907 and MS-DRG 908.

What is the ICD-9 procedure code for 0SRC069?

The CMS GEMs map 0SRC069 to ICD-9-CM 81.54 (Total knee replacement).