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Inpatient Procedure Code

0SWR4JZ ICD-10-PCS Code: Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

Revise of Synth Sub in R Hip Jt, Femoral, Perc Endo Approach

Check this code on a claim

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 OperationW

Revision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

4
Body PartR

Hip Joint, Femoral Surface, Right

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2027)

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 7 MS-DRGs:

  • 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.

0SWM4JZ — Revision of Synthetic Substitute in Right Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach, 0SWN4JZ — Revision of Synthetic Substitute in Left Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach, 0SWP4JZ — Revision of Synthetic Substitute in Right Toe Phalangeal Joint, Percutaneous Endoscopic Approach, 0SWQ4JZ — Revision of Synthetic Substitute in Left Toe Phalangeal Joint, Percutaneous Endoscopic Approach, 0SWS4JZ — Revision of Synthetic Substitute in Left Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach, 0SWT4JZ — Revision of Synthetic Substitute in Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach, 0SWU4JZ — Revision of Synthetic Substitute in Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach, 0SWV4JZ — Revision of Synthetic Substitute in Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach, +21 more

Same operation — other Approach

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

0SWR0JZ — Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, Open Approach, 0SWR3JZ — Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, Percutaneous Approach, 0SWRXJZ — Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, External 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.

0SU94KZ — Supplement Right Hip Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0SUA09Z — Supplement Right Hip Joint, Acetabular Surface with Liner, Open Approach, 0SUA0BZ — Supplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach, 0SUB07Z — Supplement Left Hip Joint with Autologous Tissue Substitute, Open Approach, 0SUB09Z — Supplement Left Hip Joint with Liner, Open Approach, 0SUB0BZ — Supplement Left Hip Joint with Resurfacing Device, Open Approach, 0SUB0JZ — Supplement Left Hip Joint with Synthetic Substitute, Open Approach, 0SUB0KZ — Supplement Left Hip Joint with Nonautologous Tissue Substitute, Open Approach, 0SUB37Z — Supplement Left Hip Joint with Autologous Tissue Substitute, Percutaneous Approach, 0SUB3JZ — Supplement Left Hip Joint with Synthetic Substitute, Percutaneous Approach, 0SUB3KZ — Supplement Left Hip Joint with Nonautologous Tissue Substitute, Percutaneous Approach, 0SUB47Z — Supplement Left Hip Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0SUB4JZ — Supplement Left Hip Joint with Synthetic Substitute, Percutaneous Endoscopic Approach, 0SUB4KZ — Supplement Left Hip Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0SUE09Z — Supplement Left Hip Joint, Acetabular Surface with Liner, Open Approach, 0SUE0BZ — Supplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach, 0SUR09Z — Supplement Right Hip Joint, Femoral Surface with Liner, Open Approach, 0SUR0BZ — Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach, 0SUS09Z — Supplement Left Hip Joint, Femoral Surface with Liner, Open Approach, 0SUS0BZ — Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach, +138 more

Contextual Map

Every relationship of 0SWR4JZ 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 0SWR4JZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

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 (15788)

  • 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 · FY2027
  • 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.”— CMS MS-DRG Definitions Manual · FY2027
  • A18.7 — Tuberculosis of adrenal glands[Same-MDC diagnosis]: “Tuberculosis of adrenal glands — grouped in MDC 10, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A18.81 — Tuberculosis of thyroid gland[Same-MDC diagnosis]: “Tuberculosis of thyroid gland — grouped in MDC 10, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • B67.31 — Echinococcus granulosus infection, thyroid gland[Same-MDC diagnosis]: “Echinococcus granulosus infection, thyroid gland — grouped in MDC 10, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • C73 — Malignant neoplasm of thyroid gland[Same-MDC diagnosis]: “Malignant neoplasm of thyroid gland — grouped in MDC 10, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • C74.00 — Malignant neoplasm of cortex of unspecified adrenal gland[Same-MDC diagnosis]: “Malignant neoplasm of cortex of unspecified adrenal gland — grouped in MDC 10, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • and 15783 more

Nearest codes

Change history

Change history

  • FY2017 — October 1, 2016
    Added to the code set
    Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach
    FY2017 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources