0RRK00ZReplacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0RRK00Z
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0RRK00Z is a billable ICD-10-PCS procedure code for Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 7 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Arthroplasty of other joint (excluding knee and hip).

Code Identity

ICD-10-PCS Code
0RRK00Z
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach
Short Description
Replace of L Shoulder Jt with Rev Bl & Sockt, Open Approach
Parent Code

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.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemRUpper Joints
3OperationRReplacement
4BodyPartKShoulder Joint, Left
5Approach0Open
6Device0Synthetic Substitute, Reverse Ball and Socket
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Leads to this code's table
Replacement, Joint, Shoulder, Left
Leads to this code's table
Leads to this code's table
Leads to this code's table
Leads to this code's table
Savoie technique, partial subscapularis-sparing total shoulder arthroplasty
Leads to this code's table
SWAT (subscapularis-sparing windowed anterior technique), full subscapularis-sparing total shoulder arthroplasty
Leads to this code's table

To code replacement of the left shoulder joint, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Joint, Shoulder, Left. The index leads to table 0RR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0RRK00Z.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST008
Arthroplasty of other joint (excluding knee and hip)
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

81.88
Reverse total shoulder replacement
Approximate match.

Code History

Replaced in the FY 2027 code set by:
  • 0RRK008 — Replace L Shoulder Jt w Rev Bl & Sockt, Sbscp-spr, Open

Similar Procedure Codes

Questions About 0RRK00Z

Is 0RRK00Z a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0RRK00Z mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character R is the Body System (Upper Joints); the 3rd character R is the Operation (Replacement); the 4th character K is the BodyPart (Shoulder Joint, Left); the 5th character 0 is the Approach (Open); the 6th character 0 is the Device (Synthetic Substitute, Reverse Ball and Socket); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0RRK00Z group to?

On an inpatient stay, Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach maps to MS-DRGs 483, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0RRK00Z?

Under the General Equivalence Mappings, Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach crosswalks to ICD-9-PCS 81.88 (Reverse total shoulder replacement). The mapping is approximate, so confirm it fits the documentation.