ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0QR7 includes procedures performed to replace bone with biological or synthetic material in the upper femur. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the upper femur is removed and replaced with a prosthesis or graft. Accurate coding within the ICD-10-PCS 0QR7 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Upper Femur Replacement Procedure Overview

This procedure group includes replacement operations performed on the upper femur within the lower bones body system, where biological or synthetic material is used to take the place and/or function of the upper femur. These procedures involve removal of all or part of the native bone and implantation of a prosthetic or graft to restore hip stability and load bearing. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it captures the specific replacement procedure, supports clinical documentation, and influences case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
R	Operation	Replacement
7	Body Part	Upper Femur, Left

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ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

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Upper Femur Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
R	Operation	Replacement
7	Body Part	Upper Femur, Left

When to Use

Use a code from this group when the upper femur is partially or completely removed and replaced with a prosthetic or graft during an inpatient stay. Select the code that reflects the laterality, replacement operation, and implant type documented in the operative note.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0QR707Z	Replacement of Left Upper Femur with Autologous Tissue Substitute, Open Approach
0QR70JZ	Replacement of Left Upper Femur with Synthetic Substitute, Open Approach
0QR70KZ	Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Open Approach
0QR737Z	Replacement of Left Upper Femur with Autologous Tissue Substitute, Percutaneous Approach
0QR73JZ	Replacement of Left Upper Femur with Synthetic Substitute, Percutaneous Approach
0QR73KZ	Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QR747Z	Replacement of Left Upper Femur with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QR74JZ	Replacement of Left Upper Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR74KZ	Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

7 rows

DRG Code	Description
480	Hip and Femur Procedures Except Major Joint with MCC
481	Hip and Femur Procedures Except Major Joint with CC
482	Hip and Femur Procedures Except Major Joint without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
956	Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

Typical Clinical Scenarios

Elderly patient with a displaced, comminuted femoral neck fracture after a ground-level fall, presenting with severe pain, inability to ambulate, and radiographic evidence of upper femur destruction; admitted urgently for surgical management to restore hip stability and weight-bearing capacity by replacing the damaged proximal femur with an implant. This inpatient replacement is performed when native bone is removed and a prosthetic or graft is required to reestablish hip function. Typical codes: 0QR70JZ, 0QR74JZ
Middle-aged patient with advanced avascular necrosis of the femoral head and collapse of the upper femur causing progressive groin pain and functional limitation despite conservative therapy; scheduled for a planned inpatient proximal femoral replacement to remove necrotic bone and implant a biological or synthetic substitute to relieve pain and restore mechanics. The procedure is elective and documented as replacement of the upper femur with the appropriate implant and approach. Typical codes: 0QR707Z, 0QR70KZ
Patient with prior internal fixation of a proximal femur fracture who develops chronic osteomyelitis and nonunion of the upper femur, requiring debridement and excision of infected bone followed by replacement with nonautologous graft or prosthesis to eradicate infection and reconstruct the femoral head/neck region; admitted for definitive inpatient surgical management often requiring percutaneous endoscopic or open techniques depending on infection extent. Typical codes: 0QR73KZ, 0QR74KZ

Related Codes

0QR0-LUMBAR-VERTEBRA-REPLACEMENT

ICD-10-PCS Code For Lumbar Vertebra: Procedure Code Group Overview

0QR1-SACRUM-REPLACEMENT

ICD-10-PCS Code For Sacrum: Procedure Code Group Overview

0QR2-PELVIC-BONE-REPLACEMENT

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0QR3-PELVIC-BONE-LEFT-REPLACEMENT

ICD-10-PCS Code For Pelvic Bone Left: Procedure Code Group Overview

0QR4-ACETABULUM-RIGHT-REPLACEMENT

ICD-10-PCS Code For Acetabulum Right: Procedure Code Group Overview

0QR5-LEFT-ACETABULUM-REPLACEMENT

ICD-10-PCS Code For Acetabulum Left: Procedure Code Group Overview

0QR6-UPPER-FEMUR-REPLACEMENT

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

0QR8-FEMORAL-SHAFT-RIGHT-REPLACEMENT

ICD-10-PCS Code For Femoral Shaft Right: Procedure Code Group Overview

0QR9-LEFT-FEMORAL-SHAFT-REPLACEMENT

ICD-10-PCS Code For Left Femoral Shaft: Procedure Code Group Overview

0QRB-LOWER-FEMUR-RIGHT-REPLACEMENT

ICD-10-PCS Code For Lower Femur Right: Procedure Code Group Overview

Showing 1–10 of 24

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0QR707Z	Replacement of Left Upper Femur with Autologous Tissue Substitute, Open Approach
0QR70JZ	Replacement of Left Upper Femur with Synthetic Substitute, Open Approach
0QR70KZ	Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Open Approach
0QR737Z	Replacement of Left Upper Femur with Autologous Tissue Substitute, Percutaneous Approach
0QR73JZ	Replacement of Left Upper Femur with Synthetic Substitute, Percutaneous Approach
0QR73KZ	Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QR747Z	Replacement of Left Upper Femur with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QR74JZ	Replacement of Left Upper Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR74KZ	Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

7 rows

DRG Code	Description
480	Hip and Femur Procedures Except Major Joint with MCC
481	Hip and Femur Procedures Except Major Joint with CC
482	Hip and Femur Procedures Except Major Joint without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
956	Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

Typical Clinical Scenarios

Elderly patient with a displaced, comminuted femoral neck fracture after a ground-level fall, presenting with severe pain, inability to ambulate, and radiographic evidence of upper femur destruction; admitted urgently for surgical management to restore hip stability and weight-bearing capacity by replacing the damaged proximal femur with an implant. This inpatient replacement is performed when native bone is removed and a prosthetic or graft is required to reestablish hip function. Typical codes: 0QR70JZ, 0QR74JZ
Middle-aged patient with advanced avascular necrosis of the femoral head and collapse of the upper femur causing progressive groin pain and functional limitation despite conservative therapy; scheduled for a planned inpatient proximal femoral replacement to remove necrotic bone and implant a biological or synthetic substitute to relieve pain and restore mechanics. The procedure is elective and documented as replacement of the upper femur with the appropriate implant and approach. Typical codes: 0QR707Z, 0QR70KZ
Patient with prior internal fixation of a proximal femur fracture who develops chronic osteomyelitis and nonunion of the upper femur, requiring debridement and excision of infected bone followed by replacement with nonautologous graft or prosthesis to eradicate infection and reconstruct the femoral head/neck region; admitted for definitive inpatient surgical management often requiring percutaneous endoscopic or open techniques depending on infection extent. Typical codes: 0QR73KZ, 0QR74KZ

Related Codes

0QR0-LUMBAR-VERTEBRA-REPLACEMENT

ICD-10-PCS Code For Lumbar Vertebra: Procedure Code Group Overview

0QR1-SACRUM-REPLACEMENT

ICD-10-PCS Code For Sacrum: Procedure Code Group Overview

0QR2-PELVIC-BONE-REPLACEMENT

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0QR3-PELVIC-BONE-LEFT-REPLACEMENT

ICD-10-PCS Code For Pelvic Bone Left: Procedure Code Group Overview

0QR4-ACETABULUM-RIGHT-REPLACEMENT

ICD-10-PCS Code For Acetabulum Right: Procedure Code Group Overview

0QR5-LEFT-ACETABULUM-REPLACEMENT

ICD-10-PCS Code For Acetabulum Left: Procedure Code Group Overview

0QR6-UPPER-FEMUR-REPLACEMENT

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

0QR8-FEMORAL-SHAFT-RIGHT-REPLACEMENT

ICD-10-PCS Code For Femoral Shaft Right: Procedure Code Group Overview

0QR9-LEFT-FEMORAL-SHAFT-REPLACEMENT

ICD-10-PCS Code For Left Femoral Shaft: Procedure Code Group Overview

0QRB-LOWER-FEMUR-RIGHT-REPLACEMENT

ICD-10-PCS Code For Lower Femur Right: Procedure Code Group Overview

Showing 1–10 of 24

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview policy alerts

Upper Femur Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview policy alerts

Upper Femur Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0QR7?

What are example individual ICD-10-PCS codes in this group?

What code attributes define the 0QR7 procedure group?

How does accurate coding in the 0QR7 group affect reimbursement?

Which DRGs may be associated with procedures in the 0QR7 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0QR7?

What are example individual ICD-10-PCS codes in this group?

What code attributes define the 0QR7 procedure group?

How does accurate coding in the 0QR7 group affect reimbursement?

Which DRGs may be associated with procedures in the 0QR7 group?

References