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ICD-10-PCS 2027 procedure code

0SRU0JZReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of L Knee Jt, Femoral with Synth 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 0SRU0JZ

0SRU0JZ is the ICD-10-PCS code for a replacement procedure on the left knee joint, femoral surface using an open approach with synthetic 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 0SR00JZ (lumbar vertebral joint), 0SR20JZ (lumbar vertebral disc), 0SR30JZ (lumbosacral joint), 0SR40JZ (lumbosacral disc), 0SR50JZ (sacrococcygeal joint), 0SR60JZ (coccygeal joint) and 23 more.

With a different device, use 0SRU07Z (autologous tissue 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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 · Bilateral or Multiple Major Joint Procedures of Lower Extremity

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 · Bilateral or Multiple Major Joint Procedures of Lower Extremity

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 · Bilateral or Multiple Major Joint Procedures of Lower Extremity

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0SRU0JZ

Is 0SRU0JZ a valid ICD-10-PCS code for 2027?

Yes. 0SRU0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SRU0JZ an O.R. procedure?

Yes. 0SRU0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SRU0JZ group to?

Depending on the principal diagnosis, 0SRU0JZ 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 0SRU0JZ?

The CMS GEMs map 0SRU0JZ to ICD-9-CM 81.54 (Total knee replacement).