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ICD-10-PCS 2027 procedure code

0S554ZZDestruction of Sacrococcygeal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Sacrococcygeal Joint, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0S554ZZ

0S554ZZ is the ICD-10-PCS code for a destruction procedure on the sacrococcygeal joint using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other local excision or destruction of lesion of joint, unspecified site and other local excision or destruction of lesion of joint, other specified sites, the ICD-9-CM procedure titles it maps to (80.80 and 80.89).

For a different body part, codes include 0S504ZZ (lumbar vertebral joint), 0S524ZZ (lumbar vertebral disc), 0S534ZZ (lumbosacral joint), 0S544ZZ (lumbosacral disc), 0S564ZZ (coccygeal joint), 0S574ZZ (right sacroiliac joint) and 15 more.

The same procedure with a different approach is coded 0S550ZZ (open) and 0S553ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
SLower Joints
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
5Sacrococcygeal Joint

Includes: Sacrococcygeal symphysis

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 80.80Other local excision or destruction of lesion of joint, unspecified siteapproximate
  • 80.89Other local excision or destruction of lesion of joint, other specified sitesapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0S554ZZ

Is 0S554ZZ a valid ICD-10-PCS code for 2027?

Yes. 0S554ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0S554ZZ an O.R. procedure?

Yes. 0S554ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0S554ZZ group to?

Depending on the principal diagnosis, 0S554ZZ can group to MS-DRG 495, MS-DRG 496, MS-DRG 497, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0S554ZZ?

The CMS GEMs map 0S554ZZ to ICD-9-CM 80.80 (Other local excision or destruction of lesion of joint, unspecified site) and 80.89 (Other local excision or destruction of lesion of joint, other specified sites).