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Inpatient Procedure Code

0SRS01Z

Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach

Replacement of L Hip Jt, Femoral with Metal, 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 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 PartS

Hip Joint, Femoral Surface, Left

5
Approach0

Open

6
Device1

Synthetic Substitute, Metal

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 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.

0SR901Z — Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach, 0SRA01Z — Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach, 0SRB01Z — Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach, 0SRE01Z — Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach, 0SRR01Z — Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach

Same operation — other Device

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

0SRS03Z — Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach, 0SRS07Z — Replacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach, 0SRS0JZ — Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach, 0SRS0KZ — Replacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach

Same operation — other Qualifier

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

0SRS019 — Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach, 0SRS01A — Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach

Contextual Map

Every relationship of 0SRS01Z 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]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

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)”
  • 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 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)”
  • 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)”
  • and 5 more

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.”
  • 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.”
  • 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 25969 more

Nearest codes

  • 0SR901Z — Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach [One axis away]
  • 0SRA01Z — Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach [One axis away]
  • 0SRB01Z — Replacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach [One axis away]
  • 0SRE01Z — Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach [One axis away]
  • 0SRR01Z — Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach [One axis away]
  • 0SRS019 — Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach [One axis away]
  • 0SRS01A — Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach [One axis away]
  • 0SRS03Z — Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.