0PRD37ZICD-10-PCS Code: Replacement of Left Humeral Head with Autologous Tissue Substitute, Percutaneous Approach

Potential MS-DRG Relationships (FY2026)

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.

0PR837Z — Replacement of Left Glenoid Cavity with Autologous Tissue Substitute, Percutaneous Approach, 0PR937Z — Replacement of Right Clavicle with Autologous Tissue Substitute, Percutaneous Approach, 0PRB37Z — Replacement of Left Clavicle with Autologous Tissue Substitute, Percutaneous Approach, 0PRC37Z — Replacement of Right Humeral Head with Autologous Tissue Substitute, Percutaneous Approach, 0PRF37Z — Replacement of Right Humeral Shaft with Autologous Tissue Substitute, Percutaneous Approach, 0PRG37Z — Replacement of Left Humeral Shaft with Autologous Tissue Substitute, Percutaneous Approach, 0PRH37Z — Replacement of Right Radius with Autologous Tissue Substitute, Percutaneous Approach, 0PRJ37Z — Replacement of Left Radius with Autologous Tissue Substitute, Percutaneous Approach, +18 more

Same operation — other Approach

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

0PRD07Z — Replacement of Left Humeral Head with Autologous Tissue Substitute, Open Approach, 0PRD47Z — Replacement of Left Humeral Head with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Same operation — other Device

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

0PRD3JZ — Replacement of Left Humeral Head with Synthetic Substitute, Percutaneous Approach, 0PRD3KZ — Replacement of Left Humeral Head with Nonautologous Tissue Substitute, Percutaneous Approach

Contextual Map

Every relationship of 0PRD37Z 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

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

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)”
• 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)”
• 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)”
• 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)”
• 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)”
• 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)”
• 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)”
• 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)”
• and 1 more

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.”
• 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.”
• A02.23 — Salmonella arthritis [Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
• A02.24 — Salmonella osteomyelitis [Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
• A18.01 — Tuberculosis of spine [Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
• 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.” · check together
• 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.” · check together
• and 40458 more

Nearest codes

• 0PR037Z — Replacement of Sternum with Autologous Tissue Substitute, Percutaneous Approach [One axis away]
• 0PR137Z — Replacement of 1 to 2 Ribs with Autologous Tissue Substitute, Percutaneous Approach [One axis away]
• 0PR237Z — Replacement of 3 or More Ribs with Autologous Tissue Substitute, Percutaneous Approach [One axis away]
• 0PR337Z — Replacement of Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Approach [One axis away]
• 0PR437Z — Replacement of Thoracic Vertebra with Autologous Tissue Substitute, Percutaneous Approach [One axis away]
• 0PR537Z — Replacement of Right Scapula with Autologous Tissue Substitute, Percutaneous Approach [One axis away]
• 0PR637Z — Replacement of Left Scapula with Autologous Tissue Substitute, Percutaneous Approach [One axis away]
• 0PR737Z — Replacement of Right Glenoid Cavity with Autologous Tissue Substitute, Percutaneous Approach [One axis away]