ICD-10-PCS 2027 procedure code
0SR90JZReplacement of Right Hip Joint with Synthetic Substitute, Open Approach
Short description: Replacement of Right Hip Joint 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 0SR90JZ
0SR90JZ is the ICD-10-PCS code for a replacement procedure on the right hip joint 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 hip replacement, the ICD-9-CM procedure title it maps to (81.51).
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 0SR901Z (synthetic substitute, metal), 0SR902Z (synthetic substitute, metal on polyethylene), 0SR903Z (synthetic substitute, ceramic), 0SR904Z (synthetic substitute, ceramic on polyethylene), 0SR906Z (synthetic substitute, oxidized zirconium on polyethylene), 0SR907Z (autologous tissue substitute) 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
- 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
Different body part
- 0SR00JZLumbar Vertebral Joint
- 0SR20JZLumbar Vertebral Disc
- 0SR30JZLumbosacral Joint
- 0SR40JZLumbosacral Disc
- 0SR50JZSacrococcygeal Joint
- 0SR60JZCoccygeal Joint
- 0SR70JZSacroiliac Joint, Right
- 0SR80JZSacroiliac Joint, Left
- 0SRA0JZHip Joint, Acetabular Surface, Right
- 0SRB0JZHip Joint, Left
- 0SRC0JZKnee Joint, Right
- 0SRD0JZKnee Joint, Left
Different device
- 0SR901ZSynthetic Substitute, Metal
- 0SR902ZSynthetic Substitute, Metal on Polyethylene
- 0SR903ZSynthetic Substitute, Ceramic
- 0SR904ZSynthetic Substitute, Ceramic on Polyethylene
- 0SR906ZSynthetic Substitute, Oxidized Zirconium on Polyethylene
- 0SR907ZAutologous Tissue Substitute
- 0SR90EZArticulating Spacer
- 0SR90KZNonautologous Tissue Substitute
Different qualifier
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 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 81.51Total hip 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 0SR90JZ
Is 0SR90JZ a valid ICD-10-PCS code for 2027?
- Yes. 0SR90JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SR90JZ an O.R. procedure?
- Yes. 0SR90JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SR90JZ group to?
- Depending on the principal diagnosis, 0SR90JZ 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 0SR90JZ?
- The CMS GEMs map 0SR90JZ to ICD-9-CM 81.51 (Total hip replacement).