0SR20JZReplacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach
- Billable / Specific Code
- Medicare Coverage Alert
0SR20JZ is a billable ICD-10-PCS procedure code for Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 10 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. Medicare may not cover this procedure; review the non-covered procedure codes over age 60 edit. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Arthroplasty of other joint (excluding knee and hip).
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 | S | Lower Joints |
| 3 | Operation | R | Replacement |
| 4 | BodyPart | 2 | Lumbar Vertebral Disc |
| 5 | Approach | 0 | Open |
| 6 | Device | J | Synthetic Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code partial joint replacement of the hip, open the FY 2027 ICD-10-PCS Alphabetic Index at Partial joint replacement, then the subterm Hip. The index leads to table 0SR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0SR20JZ.
Medicare Code Edits
Medicare Code Editor checks that affect claim validity for this code.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0SR20JZ
Is 0SR20JZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0SR20JZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character S is the Body System (Lower Joints); the 3rd character R is the Operation (Replacement); the 4th character 2 is the BodyPart (Lumbar Vertebral Disc); 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 0SR20JZ group to?
On an inpatient stay, Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach maps to MS-DRGs 028, 029, 030, 518, 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.
Is 0SR20JZ covered by Medicare?
Review coverage carefully. The Medicare Code Editor applies a non-covered procedure codes over age 60 edit to this code, which can affect payment for Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach.
What is the ICD-9-PCS equivalent of 0SR20JZ?
Under the General Equivalence Mappings, Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach crosswalks to ICD-9-PCS 84.65 (Insertion of total spinal disc prosthesis, lumbosacral). The mapping is approximate, so confirm it fits the documentation.
