ICD-10-PCS 2027 procedure code
0SRU07ZReplacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
Short description: Replace of L Knee Jt, Femoral with Autol 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 0SRU07Z
0SRU07Z is the ICD-10-PCS code for a replacement procedure on the left knee joint, femoral surface using an open approach with autologous tissue substitute. 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 0SR007Z (lumbar vertebral joint), 0SR207Z (lumbar vertebral disc), 0SR307Z (lumbosacral joint), 0SR407Z (lumbosacral disc), 0SR507Z (sacrococcygeal joint), 0SR607Z (coccygeal joint) and 23 more.
With a different device, use 0SRU0JZ (synthetic substitute) and 0SRU0KZ (nonautologous tissue 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 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 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
- UKnee Joint, Femoral Surface, Left
Includes: Femoropatellar joint; Patellofemoral joint
- 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
- 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
- 0SR007ZLumbar Vertebral Joint
- 0SR207ZLumbar Vertebral Disc
- 0SR307ZLumbosacral Joint
- 0SR407ZLumbosacral Disc
- 0SR507ZSacrococcygeal Joint
- 0SR607ZCoccygeal Joint
- 0SR707ZSacroiliac Joint, Right
- 0SR807ZSacroiliac Joint, Left
- 0SR907ZHip Joint, Right
- 0SRA07ZHip Joint, Acetabular Surface, Right
- 0SRB07ZHip Joint, Left
- 0SRC07ZKnee Joint, Right
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 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 →- 81.54Total knee replacementapproximate
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 0SRU07Z
Is 0SRU07Z a valid ICD-10-PCS code for 2027?
- Yes. 0SRU07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SRU07Z an O.R. procedure?
- Yes. 0SRU07Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SRU07Z group to?
- Depending on the principal diagnosis, 0SRU07Z 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 0SRU07Z?
- The CMS GEMs map 0SRU07Z to ICD-9-CM 81.54 (Total knee replacement).