0SRB03A ICD-10-PCS Code: Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
Replace of L Hip Jt with Ceramic, Uncement, 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 PartB | Hip Joint, Left |
| 5 | Approach0 | Open |
| 6 | Device3 | Synthetic Substitute, Ceramic |
| 7 | QualifierA | Uncemented |
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 — 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 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.
0SR903A — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach, 0SRA03A — Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach, 0SRE03A — Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach, 0SRR03A — Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach, 0SRS03A — Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0SRB01A — Replacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach, 0SRB02A — Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SRB04A — Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SRB06A — Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SRB0JA — Replacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0SRB039 — Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach, 0SRB03Z — Replacement of Left Hip Joint with Ceramic 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 0SRB03A 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 (10)
- 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)”
- 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)”
- 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)”
- 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)”
- 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)”
- 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)”
- 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)”
- and 2 more
Clinical classification (CCSR)
- MST007 — Hip arthroplasty[CCSR category]: “Hip arthroplasty — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”
MDC crossing · diagnoses (31735)
- 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 0SRB03A + A02.23 together
- A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0SRB03A + A02.24 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 0SRB03A + A18.01 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 0SRB03A + A18.02 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 0SRB03A + A18.03 together
- and 31730 more
Nearest codes
- 0SR903A — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach[One axis away]
- 0SRA03A — Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach[One axis away]
- 0SRB01A — Replacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach[One axis away]
- 0SRB02A — Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach[One axis away]
- 0SRB039 — Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach[One axis away]
- 0SRB03Z — Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach[One axis away]
- 0SRB04A — Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach[One axis away]
- 0SRB06A — Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach[One axis away]
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.