0PRG0JZReplacement of Left Humeral Shaft with Synthetic Substitute, Open Approach
- Billable / Specific Code
0PRG0JZ is a billable ICD-10-PCS procedure code for Replacement of Left Humeral Shaft with Synthetic Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 MS-DRGs. The root operation Replacement involves 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.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | P | Upper Bones |
| 3 | Operation | R | Replacement |
| 4 | BodyPart | G | Humeral Shaft, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | J | Synthetic Substitute |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 0PRG0JZ under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0PRG0JZ
Is 0PRG0JZ a billable code?
Yes. 0PRG0JZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Humeral Shaft with Synthetic Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0PRG0JZ mean?
0PRG0JZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character P is the Body System (Upper Bones); the 3rd character R is the Operation (Replacement); the 4th character G is the BodyPart (Humeral Shaft, Left); the 5th character 0 is the Approach (Open); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0PRG0JZ group to?
On an inpatient stay, Replacement of Left Humeral Shaft with Synthetic Substitute, Open Approach maps to MS-DRGs 492, 493, 494, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0PRG0JZ?
Under the General Equivalence Mappings, Replacement of Left Humeral Shaft with Synthetic Substitute, Open Approach crosswalks to ICD-9-PCS 78.42. The mapping is approximate, so confirm it fits the documentation.
