0XU94JZSupplement Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0XU94JZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0XU94JZ is a billable ICD-10-PCS procedure code for Supplement Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 6 MS-DRGs. The root operation Supplement involves putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

Code Identity

ICD-10-PCS Code
0XU94JZ
Billable Status
Yes — Valid for Submission
Code Describes
Supplement Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach
Parent Code
Short Description
Supplement Left Upper Arm with Synth Sub, Perc Endo Approac

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 SystemXAnatomical Regions, Upper Extremities
3OperationUSupplement
4BodyPart9Upper Arm, Left
5Approach4Percutaneous Endoscopic
6DeviceJSynthetic Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0XU94JZ under the General Equivalence Mappings.

86.89
Approximate match.

Similar Procedure Codes

Questions About 0XU94JZ

Is 0XU94JZ a billable code?

Yes. 0XU94JZ is a complete seven-character ICD-10-PCS code, specific enough to report Supplement Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0XU94JZ mean?

0XU94JZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character X is the Body System (Anatomical Regions, Upper Extremities); the 3rd character U is the Operation (Supplement); the 4th character 9 is the BodyPart (Upper Arm, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0XU94JZ group to?

On an inpatient stay, Supplement Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 579, 580, 581, 907, 908, 909, with relative weights from 1.3127 to 3.8393. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0XU94JZ?

Under the General Equivalence Mappings, Supplement Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 86.89. The mapping is approximate, so confirm it fits the documentation.