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Inpatient Procedure Code

0SPR0JZ ICD-10-PCS Code: Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Open Approach

Removal of Synth Sub from R Hip Jt, Femoral, 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 SystemS

Lower Joints

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartR

Hip Joint, Femoral Surface, Right

5
Approach0

Open

6
DeviceJ

Synthetic 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 10 MS-DRGs:

  • MDC 08 — Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders: DRG 463, DRG 464, DRG 465
  • MDC 08 — Revision of Hip or Knee Replacement: DRG 466, DRG 467, DRG 468
  • MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
  • MDC 24 — Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma: DRG 956

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.

0SPM0JZ — Removal of Synthetic Substitute from Right Metatarsal-Phalangeal Joint, Open Approach, 0SPN0JZ — Removal of Synthetic Substitute from Left Metatarsal-Phalangeal Joint, Open Approach, 0SPP0JZ — Removal of Synthetic Substitute from Right Toe Phalangeal Joint, Open Approach, 0SPQ0JZ — Removal of Synthetic Substitute from Left Toe Phalangeal Joint, Open Approach, 0SPS0JZ — Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach, 0SPT0JZ — Removal of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach, 0SPU0JZ — Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach, 0SPV0JZ — Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach, +21 more

Same operation — other Approach

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

0SPR3JZ — Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Approach, 0SPR4JZ — Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Hip arthroplasty (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.

0SH908Z — Insertion of Spacer into Right Hip Joint, Open Approach, 0SH938Z — Insertion of Spacer into Right Hip Joint, Percutaneous Approach, 0SH948Z — Insertion of Spacer into Right Hip Joint, Percutaneous Endoscopic Approach, 0SHB08Z — Insertion of Spacer into Left Hip Joint, Open Approach, 0SHB38Z — Insertion of Spacer into Left Hip Joint, Percutaneous Approach, 0SHB48Z — Insertion of Spacer into Left Hip Joint, Percutaneous Endoscopic Approach, 0SR9019 — Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach, 0SR901A — Replacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach, 0SR901Z — Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach, 0SR9029 — Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach, 0SR902A — Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SR902Z — Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach, 0SR9039 — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach, 0SR903A — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach, 0SR903Z — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach, 0SR9049 — Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach, 0SR904A — Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SR904Z — Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach, 0SR9069 — Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach, 0SR906A — Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach, +160 more

Contextual Map

Every relationship of 0SPR0JZ 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 (10)

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.