ICD-10-PCS Code Range

The ICD-10-PCS code range for is medical classification list by the World Health Organization (WHO).

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PCS Tables

0SR

0 Medical and Surgical
S Lower Joints
R Replacement: 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
Body Part Approach Device Qualifier
Character 4 Character 5 Character 6 Character 7
Body System (Character 4)
0 Lumbar Vertebral Joint
2 Lumbar Vertebral Disc
3 Lumbosacral Joint
4 Lumbosacral Disc
5 Sacrococcygeal Joint
6 Coccygeal Joint
7 Sacroiliac Joint, Right
8 Sacroiliac Joint, Left
H Tarsal Joint, Right
J Tarsal Joint, Left
K Tarsometatarsal Joint, Right
L Tarsometatarsal Joint, Left
M Metatarsal-Phalangeal Joint, Right
N Metatarsal-Phalangeal Joint, Left
P Toe Phalangeal Joint, Right
Q Toe Phalangeal Joint, Left
Approach (Character 5)
0 Open
Substance (Character 6)
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
9 Hip Joint, Right
B Hip Joint, Left
Approach (Character 5)
0 Open
Substance (Character 6)
1 Synthetic Substitute, Metal
2 Synthetic Substitute, Metal on Polyethylene
3 Synthetic Substitute, Ceramic
4 Synthetic Substitute, Ceramic on Polyethylene
6 Synthetic Substitute, Oxidized Zirconium on Polyethylene
J Synthetic Substitute
Qualifier (Character 7)
9 Cemented
A Uncemented
Z No Qualifier
Body System (Character 4)
9 Hip Joint, Right
B Hip Joint, Left
Approach (Character 5)
0 Open
Substance (Character 6)
7 Autologous Tissue Substitute
E Articulating Spacer
K Nonautologous Tissue Substitute
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
A Hip Joint, Acetabular Surface, Right
E Hip Joint, Acetabular Surface, Left
Approach (Character 5)
0 Open
Substance (Character 6)
0 Synthetic Substitute, Polyethylene
1 Synthetic Substitute, Metal
3 Synthetic Substitute, Ceramic
J Synthetic Substitute
Qualifier (Character 7)
9 Cemented
A Uncemented
Z No Qualifier
Body System (Character 4)
A Hip Joint, Acetabular Surface, Right
E Hip Joint, Acetabular Surface, Left
Approach (Character 5)
0 Open
Substance (Character 6)
7 Autologous Tissue Substitute
K Nonautologous Tissue Substitute
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
C Knee Joint, Right
D Knee Joint, Left
Approach (Character 5)
0 Open
Substance (Character 6)
6 Synthetic Substitute, Oxidized Zirconium on Polyethylene
J Synthetic Substitute
L Synthetic Substitute, Unicondylar Medial
M Synthetic Substitute, Unicondylar Lateral
N Synthetic Substitute, Patellofemoral
Qualifier (Character 7)
9 Cemented
A Uncemented
Z No Qualifier
Body System (Character 4)
C Knee Joint, Right
D Knee Joint, Left
Approach (Character 5)
0 Open
Substance (Character 6)
7 Autologous Tissue Substitute
E Articulating Spacer
K Nonautologous Tissue Substitute
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
F Ankle Joint, Right
G Ankle Joint, Left
T Knee Joint, Femoral Surface, Right
U Knee Joint, Femoral Surface, Left
V Knee Joint, Tibial Surface, Right
W Knee Joint, Tibial Surface, Left
Approach (Character 5)
0 Open
Substance (Character 6)
7 Autologous Tissue Substitute
K Nonautologous Tissue Substitute
Qualifier (Character 7)
Z No Qualifier
Body System (Character 4)
F Ankle Joint, Right
G Ankle Joint, Left
T Knee Joint, Femoral Surface, Right
U Knee Joint, Femoral Surface, Left
V Knee Joint, Tibial Surface, Right
W Knee Joint, Tibial Surface, Left
Approach (Character 5)
0 Open
Substance (Character 6)
J Synthetic Substitute
Qualifier (Character 7)
9 Cemented
A Uncemented
Z No Qualifier
Body System (Character 4)
R Hip Joint, Femoral Surface, Right
S Hip Joint, Femoral Surface, Left
Approach (Character 5)
0 Open
Substance (Character 6)
1 Synthetic Substitute, Metal
3 Synthetic Substitute, Ceramic
J Synthetic Substitute
Qualifier (Character 7)
9 Cemented
A Uncemented
Z No Qualifier
Body System (Character 4)
R Hip Joint, Femoral Surface, Right
S Hip Joint, Femoral Surface, Left
Approach (Character 5)
0 Open
Substance (Character 6)
7 Autologous Tissue Substitute
K Nonautologous Tissue Substitute
Qualifier (Character 7)
Z No Qualifier

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July 31, 2020
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