0SRA009 ICD-10-PCS Code: Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
Replace R Hip Jt, Acetab w Polyeth, Cement, Open
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 PartA | Hip Joint, Acetabular Surface, Right |
| 5 | Approach0 | Open |
| 6 | Device0 | Synthetic Substitute, Polyethylene |
| 7 | Qualifier9 | Cemented |
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 13 MS-DRGs:
- MDC 08 — Bilateral or Multiple Major Joint Procedures of Lower Extremity: DRG 461, DRG 462
- MDC 08 — Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity or Total Ankle Replacement: DRG 469, DRG 470
- MDC 08 — Hip Replacement with Principal Diagnosis of Hip Fracture: DRG 521, DRG 522
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- 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.
Same operation — other Device
Same table and root operation, differing only in the device character.
0SRA019 — Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach, 0SRA039 — Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach, 0SRA0J9 — Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0SRA00A — Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SRA00Z — Replacement of Right Hip Joint, Acetabular Surface with Polyethylene 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 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.
0SPB4JZ — Removal of Synthetic Substitute from Left Hip Joint, Percutaneous Endoscopic Approach, 0SPE0JZ — Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Open Approach, 0SPE3JZ — Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Approach, 0SPE4JZ — Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach, 0SPR0JZ — Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Open Approach, 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, 0SPS0JZ — Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach, 0SPS3JZ — Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Approach, 0SPS4JZ — Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach, 0SU907Z — Supplement Right Hip Joint with Autologous Tissue Substitute, Open Approach, 0SU909Z — Supplement Right Hip Joint with Liner, Open Approach, 0SU90BZ — Supplement Right Hip Joint with Resurfacing Device, Open Approach, 0SU90JZ — Supplement Right Hip Joint with Synthetic Substitute, Open Approach, 0SU90KZ — Supplement Right Hip Joint with Nonautologous Tissue Substitute, Open Approach, 0SU937Z — Supplement Right Hip Joint with Autologous Tissue Substitute, Percutaneous Approach, 0SU93JZ — Supplement Right Hip Joint with Synthetic Substitute, Percutaneous Approach, 0SU93KZ — Supplement Right Hip Joint with Nonautologous Tissue Substitute, Percutaneous Approach, 0SU947Z — Supplement Right Hip Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0SU94JZ — Supplement Right Hip Joint with Synthetic Substitute, Percutaneous Endoscopic Approach, +98 more
Contextual Map
Every relationship of 0SRA009 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 0SRA009 with these 5 related codes in Claim Check
PCS table
- 0SR[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Joints — Body System: Lower Joints[Body System]: “Lower Joints”— CMS ICD-10-PCS tables
- Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables
MS-DRG participation (13)
- DRG 461 — BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC[MS-DRG]: “BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — Bilateral or Multiple Major Joint Procedures of Lower Extremity (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 462 — BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC[MS-DRG]: “BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC — Bilateral or Multiple Major Joint Procedures of Lower Extremity (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 469 — MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT[MS-DRG]: “MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity or Total Ankle Replacement (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 470 — MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC[MS-DRG]: “MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC — Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity or Total Ankle Replacement (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 521 — HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC[MS-DRG]: “HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — Hip Replacement with Principal Diagnosis of Hip Fracture (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 522 — HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC[MS-DRG]: “HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC — Hip Replacement with Principal Diagnosis of Hip Fracture (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 629 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 5 more
Clinical classification (CCSR)
- MST007 — Hip arthroplasty[CCSR category]: “Hip arthroplasty — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (25974)
- 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 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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 25969 more
Nearest codes
- 0SRA00A — Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SRA00Z — Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SRA019 — Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SRA039 — Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SRA0J9 — Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0SRE009 — Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach[One axis away]— CMS ICD-10-PCS tables
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.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels