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Inpatient Procedure Code

0LU107Z ICD-10-PCS Code: Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach

Supplement R Shoulder Tendon with Autol Sub, Open Approach

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemL

Tendons

3
Root OperationU

Supplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

4
Body Part1

Shoulder Tendon, Right

5
Approach0

Open

6
Device7

Autologous Tissue Substitute

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0LU007Z — Supplement Head and Neck Tendon with Autologous Tissue Substitute, Open Approach, 0LU207Z — Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach, 0LU307Z — Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach, 0LU407Z — Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach, 0LU507Z — Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach, 0LU607Z — Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach, 0LU707Z — Supplement Right Hand Tendon with Autologous Tissue Substitute, Open Approach, 0LU807Z — Supplement Left Hand Tendon with Autologous Tissue Substitute, Open Approach, +19 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0LU147Z — Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

0LU10JZ — Supplement Right Shoulder Tendon with Synthetic Substitute, Open Approach, 0LU10KZ — Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Tendon, muscle, bursa, and ligament repair (excluding perineal) (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0LQS4ZZ — Repair Right Ankle Tendon, Percutaneous Endoscopic Approach, 0LQT0ZZ — Repair Left Ankle Tendon, Open Approach, 0LQT3ZZ — Repair Left Ankle Tendon, Percutaneous Approach, 0LQT4ZZ — Repair Left Ankle Tendon, Percutaneous Endoscopic Approach, 0LQV0ZZ — Repair Right Foot Tendon, Open Approach, 0LQV3ZZ — Repair Right Foot Tendon, Percutaneous Approach, 0LQV4ZZ — Repair Right Foot Tendon, Percutaneous Endoscopic Approach, 0LQW0ZZ — Repair Left Foot Tendon, Open Approach, 0LQW3ZZ — Repair Left Foot Tendon, Percutaneous Approach, 0LQW4ZZ — Repair Left Foot Tendon, Percutaneous Endoscopic Approach, 0MQ00ZZ — Repair Head and Neck Bursa and Ligament, Open Approach, 0MQ03ZZ — Repair Head and Neck Bursa and Ligament, Percutaneous Approach, 0MQ04ZZ — Repair Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach, 0MQ10ZZ — Repair Right Shoulder Bursa and Ligament, Open Approach, 0MQ13ZZ — Repair Right Shoulder Bursa and Ligament, Percutaneous Approach, 0MQ14ZZ — Repair Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach, 0MQ20ZZ — Repair Left Shoulder Bursa and Ligament, Open Approach, 0MQ23ZZ — Repair Left Shoulder Bursa and Ligament, Percutaneous Approach, 0MQ24ZZ — Repair Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach, 0MQ30ZZ — Repair Right Elbow Bursa and Ligament, Open Approach, +540 more

Contextual Map

Every relationship of 0LU107Z in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

MS-DRG participation

Clinical classification (CCSR)

MDC crossing · diagnoses (31735)

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.