0SR407ZICD-10-PCS Code: Replacement of Lumbosacral Disc with Autologous Tissue Substitute, Open Approach
Replacement of Lumsac Disc 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemS | Lower Joints |
| 3 | Root OperationR | Replacement Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part |
| 4 | Body Part4 | Lumbosacral Disc |
| 5 | Approach0 | Open |
| 6 | Device7 | Autologous Tissue Substitute |
| 7 | QualifierZ | No Qualifier |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:
- MDC 08 — Other Musculoskeletal System and Connective Tissue O.R. Procedures: DRG 515, DRG 516, DRG 517
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.
0SR007Z — Replacement of Lumbar Vertebral Joint with Autologous Tissue Substitute, Open Approach, 0SR207Z — Replacement of Lumbar Vertebral Disc with Autologous Tissue Substitute, Open Approach, 0SR307Z — Replacement of Lumbosacral Joint with Autologous Tissue Substitute, Open Approach, 0SR507Z — Replacement of Sacrococcygeal Joint with Autologous Tissue Substitute, Open Approach, 0SR607Z — Replacement of Coccygeal Joint with Autologous Tissue Substitute, Open Approach, 0SR707Z — Replacement of Right Sacroiliac Joint with Autologous Tissue Substitute, Open Approach, 0SR807Z — Replacement of Left Sacroiliac Joint with Autologous Tissue Substitute, Open Approach, 0SR907Z — Replacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach, +21 more
Same operation — other Device
Same table and root operation, differing only in the device character.
0SR40JZ — Replacement of Lumbosacral Disc with Synthetic Substitute, Open Approach, 0SR40KZ — Replacement of Lumbosacral Disc with Nonautologous Tissue Substitute, Open Approach
Contextual Map
Every relationship of 0SR407Z 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
- 0SR[PCS table]
- Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
- Lower Joints — Body System: Lower Joints [Body System]: “Lower Joints”
- Replacement — Operation: Replacement [Operation]: “Replacement”
MS-DRG participation
- DRG 515 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”
- DRG 516 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”
- DRG 517 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”
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.”
- 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 25336 more
Nearest codes
- 0SR007Z — Replacement of Lumbar Vertebral Joint with Autologous Tissue Substitute, Open Approach [One axis away]
- 0SR207Z — Replacement of Lumbar Vertebral Disc with Autologous Tissue Substitute, Open Approach [One axis away]
- 0SR307Z — Replacement of Lumbosacral Joint with Autologous Tissue Substitute, Open Approach [One axis away]
- 0SR40JZ — Replacement of Lumbosacral Disc with Synthetic Substitute, Open Approach [One axis away]
- 0SR40KZ — Replacement of Lumbosacral Disc with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 0SR507Z — Replacement of Sacrococcygeal Joint with Autologous Tissue Substitute, Open Approach [One axis away]
- 0SR607Z — Replacement of Coccygeal Joint with Autologous Tissue Substitute, Open Approach [One axis away]
- 0SR707Z — Replacement of Right Sacroiliac Joint with Autologous Tissue Substitute, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.