0PRC0KZ ICD-10-PCS Code: Replacement of Right Humeral Head with Nonautologous Tissue 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 9 MS-DRGs:

• MDC 08 — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur: DRG 492, DRG 493, DRG 494
• MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
• MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959

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.

0PR70KZ — Replacement of Right Glenoid Cavity with Nonautologous Tissue Substitute, Open Approach, 0PR80KZ — Replacement of Left Glenoid Cavity with Nonautologous Tissue Substitute, Open Approach, 0PR90KZ — Replacement of Right Clavicle with Nonautologous Tissue Substitute, Open Approach, 0PRB0KZ — Replacement of Left Clavicle with Nonautologous Tissue Substitute, Open Approach, 0PRD0KZ — Replacement of Left Humeral Head with Nonautologous Tissue Substitute, Open Approach, 0PRF0KZ — Replacement of Right Humeral Shaft with Nonautologous Tissue Substitute, Open Approach, 0PRG0KZ — Replacement of Left Humeral Shaft with Nonautologous Tissue Substitute, Open Approach, 0PRH0KZ — Replacement of Right Radius with Nonautologous Tissue Substitute, Open Approach, +18 more

Same operation — other Approach

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

0PRC3KZ — Replacement of Right Humeral Head with Nonautologous Tissue Substitute, Percutaneous Approach, 0PRC4KZ — Replacement of Right Humeral Head with Nonautologous Tissue 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, 0PRC0JZ — Replacement of Right Humeral Head with Synthetic 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 0PRC0KZ 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 0PRC0KZ 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 (9)

• 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
• DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• and 1 more

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 (40463)

• 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
• MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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 40458 more

Nearest codes

• 0PR00KZ — Replacement of Sternum with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR10KZ — Replacement of 1 to 2 Ribs with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR20KZ — Replacement of 3 or More Ribs with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR30KZ — Replacement of Cervical Vertebra with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR40KZ — Replacement of Thoracic Vertebra with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR50KZ — Replacement of Right Scapula with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR60KZ — Replacement of Left Scapula with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PR70KZ — Replacement of Right Glenoid Cavity with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables