0PRC0JZ ICD-10-PCS Code: Replacement of Right Humeral Head with Synthetic Substitute, Open Approach

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 3 MS-DRGs:

• MDC 08 — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur: DRG 492, DRG 493, DRG 494

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.

0PR70JZ — Replacement of Right Glenoid Cavity with Synthetic Substitute, Open Approach, 0PR80JZ — Replacement of Left Glenoid Cavity with Synthetic Substitute, Open Approach, 0PR90JZ — Replacement of Right Clavicle with Synthetic Substitute, Open Approach, 0PRB0JZ — Replacement of Left Clavicle with Synthetic Substitute, Open Approach, 0PRD0JZ — Replacement of Left Humeral Head with Synthetic Substitute, Open Approach, 0PRF0JZ — Replacement of Right Humeral Shaft with Synthetic Substitute, Open Approach, 0PRG0JZ — Replacement of Left Humeral Shaft with Synthetic Substitute, Open Approach, 0PRH0JZ — Replacement of Right Radius with Synthetic Substitute, Open Approach, +18 more

Same operation — other Approach

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

0PRC3JZ — Replacement of Right Humeral Head with Synthetic Substitute, Percutaneous Approach, 0PRC4JZ — Replacement of Right Humeral Head with Synthetic Substitute, Percutaneous Endoscopic Approach

Same operation — other Device

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

0PRC07Z — Replacement of Right Humeral Head with Autologous Tissue Substitute, Open Approach, 0PRC0KZ — Replacement of Right Humeral Head 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 Musculoskeletal device procedures, NEC (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.

+4772 more

Contextual Map

Every relationship of 0PRC0JZ 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.

Run 0PRC0JZ with these 5 related codes in Claim Check

PCS table

• 0PR[PCS table]— CMS ICD-10-PCS tables
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
• Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”— CMS ICD-10-PCS tables
• Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 492 — LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC[MS-DRG]: “LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 493 — LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC[MS-DRG]: “LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 494 — LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• MST029 — Musculoskeletal device procedures, NEC[CCSR category]: “Musculoskeletal device procedures, NEC — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (25341)

• MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
• A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A18.02 — Tuberculous arthritis of other joints[Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A18.03 — Tuberculosis of other bones[Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 25336 more

Nearest codes

• 0PR00JZ — Replacement of Sternum with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR10JZ — Replacement of 1 to 2 Ribs with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR20JZ — Replacement of 3 or More Ribs with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR30JZ — Replacement of Cervical Vertebra with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR40JZ — Replacement of Thoracic Vertebra with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR50JZ — Replacement of Right Scapula with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR60JZ — Replacement of Left Scapula with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR70JZ — Replacement of Right Glenoid Cavity with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables