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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0QRB includes procedures performed to replace biological or synthetic material that takes the place and/or function of all or a portion of the lower femur on the right side. These ICD-10-PCS codes are used for inpatient documentation when a surgeon removes and substitutes part or all of the right lower femur with an implant due to disease, trauma, or degenerative conditions. Accurate coding within the ICD-10-PCS 0QRB group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and supports clinical documentation accuracy.

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Lower Femur Right Replacement Procedure Overview

This procedure group includes replacement of all or part of the lower femur on the right side and targets the lower bones body system. Procedures involve removing a diseased, damaged, or otherwise nonfunctional portion of the lower femur and implanting a biological or synthetic device that takes the place and function of the removed bone. Accurate ICD-10-PCS coding is important for inpatient reimbursement and for reflecting the surgical level and intent of the replacement.

Code Attributes

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

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

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Lower Femur Right 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
B	Body Part	Lower Femur, Right

When to Use

Use a code from this group when a surgical procedure involves removing part or all of the right lower femur and implanting a device to restore structure or function. Typical clinical circumstances include treatment for extensive fracture, tumor resection requiring reconstruction, or severe degenerative disease necessitating segmental replacement.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0QRB07Z	Replacement of Right Lower Femur with Autologous Tissue Substitute, Open Approach
0QRB0JZ	Replacement of Right Lower Femur with Synthetic Substitute, Open Approach
0QRB0KZ	Replacement of Right Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QRB37Z	Replacement of Right Lower Femur with Autologous Tissue Substitute, Percutaneous Approach
0QRB3JZ	Replacement of Right Lower Femur with Synthetic Substitute, Percutaneous Approach
0QRB3KZ	Replacement of Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QRB47Z	Replacement of Right Lower Femur with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QRB4JZ	Replacement of Right Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRB4KZ	Replacement of Right Lower 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

An elderly patient with advanced osteolysis and gross collapse of the distal femoral condyle causing severe pain, instability, and loss of ambulation presents for planned inpatient reconstruction after failing conservative therapy; the surgeon performs segmental resection of the damaged right lower femur and implants a synthetic distal femoral component to restore length and joint alignment. Typical codes: 0QRB0JZ.
A middle-aged patient sustains a high-energy open fracture of the right distal femur with comminution and bone loss from a motor vehicle collision; after initial stabilization and debridement, the patient requires inpatient replacement of the destroyed lower femur segment using a nonautologous (cadaveric or engineered biological) graft to reconstruct the bone. Typical codes: 0QRB3KZ, 0QRB4KZ.
A patient with a failed previous distal femoral allograft presents with persistent pain, loosening, and infection-free but nonunion of the graft; in a staged, elective inpatient revision, the surgical team removes the nonviable graft and replaces the right lower femur with the patient’s own harvested bone tissue substitute to achieve structural support. Typical codes: 0QRB07Z, 0QRB47Z.

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

0QR7-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

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
0QRB07Z	Replacement of Right Lower Femur with Autologous Tissue Substitute, Open Approach
0QRB0JZ	Replacement of Right Lower Femur with Synthetic Substitute, Open Approach
0QRB0KZ	Replacement of Right Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QRB37Z	Replacement of Right Lower Femur with Autologous Tissue Substitute, Percutaneous Approach
0QRB3JZ	Replacement of Right Lower Femur with Synthetic Substitute, Percutaneous Approach
0QRB3KZ	Replacement of Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QRB47Z	Replacement of Right Lower Femur with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QRB4JZ	Replacement of Right Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRB4KZ	Replacement of Right Lower 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

An elderly patient with advanced osteolysis and gross collapse of the distal femoral condyle causing severe pain, instability, and loss of ambulation presents for planned inpatient reconstruction after failing conservative therapy; the surgeon performs segmental resection of the damaged right lower femur and implants a synthetic distal femoral component to restore length and joint alignment. Typical codes: 0QRB0JZ.
A middle-aged patient sustains a high-energy open fracture of the right distal femur with comminution and bone loss from a motor vehicle collision; after initial stabilization and debridement, the patient requires inpatient replacement of the destroyed lower femur segment using a nonautologous (cadaveric or engineered biological) graft to reconstruct the bone. Typical codes: 0QRB3KZ, 0QRB4KZ.
A patient with a failed previous distal femoral allograft presents with persistent pain, loosening, and infection-free but nonunion of the graft; in a staged, elective inpatient revision, the surgical team removes the nonviable graft and replaces the right lower femur with the patient’s own harvested bone tissue substitute to achieve structural support. Typical codes: 0QRB07Z, 0QRB47Z.

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

0QR7-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

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 Lower Femur Right: Procedure Code Group Overview

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

Lower Femur Right Replacement Procedure Overview

Code Attributes

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

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

Lower Femur Right Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

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

What is the clinical intent captured by ICD-10-PCS group 0QRB?

Which specific ICD-10-PCS codes represent open approach replacements of the right lower femur?

How does accurate coding in 0QRB affect inpatient reimbursement?

Which DRGs are related to procedures in the 0QRB group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

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

What is the clinical intent captured by ICD-10-PCS group 0QRB?

Which specific ICD-10-PCS codes represent open approach replacements of the right lower femur?

How does accurate coding in 0QRB affect inpatient reimbursement?

Which DRGs are related to procedures in the 0QRB group?

References