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ICD-10-PCS 2027 procedure code

0SGD03ZFusion of Left Knee Joint with Sustained Compression Internal Fixation Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of L Knee Jt with Int Fix Sustn Comprs, Open Approach

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0SGD03Z

0SGD03Z is the ICD-10-PCS code for a fusion procedure on the left knee joint using an open approach with internal fixation device, sustained compression. In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.

For a different body part, codes include 0SG903Z (right hip joint), 0SGB03Z (left hip joint), 0SGC03Z (right knee joint), 0SGF03Z (right ankle joint), 0SGG03Z (left ankle joint), 0SGH03Z (right tarsal joint) and 7 more.

The same procedure with a different approach is coded 0SGD33Z (percutaneous) and 0SGD43Z (percutaneous endoscopic).

With a different device, use 0SGD04Z (internal fixation device), 0SGD05Z (external fixation device), 0SGD07Z (autologous tissue substitute), 0SGD0JZ (synthetic substitute) and 0SGD0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 400 (Knee Procedures with Principal Diagnosis of Infection), DRG 488 (Knee Procedures without Principal Diagnosis of Infection with CC/MCC), DRG 489 (Knee Procedures without Principal Diagnosis of Infection 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 “Knee Procedures with Principal Diagnosis of Infection”, “Knee Procedures without Principal Diagnosis of Infection”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2021, effective October 1, 2020.

What each character means

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

Joining together portions of an articular body part rendering the articular body part immobile

The body part is joined together by fixation device, bone graft, or other means

Includes: Spinal fusion, ankle arthrodesis

4. Body Part
DKnee Joint, Left

Includes: Femoropatellar joint; Femorotibial joint; Lateral meniscus; Medial meniscus; Patellofemoral joint; Tibiofemoral joint

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
3Internal Fixation Device, Sustained Compression
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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures with Principal Diagnosis of Infection

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures without Principal Diagnosis of Infection

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
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about 0SGD03Z

Is 0SGD03Z a valid ICD-10-PCS code for 2027?

Yes. 0SGD03Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SGD03Z an O.R. procedure?

Yes. 0SGD03Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SGD03Z group to?

Depending on the principal diagnosis, 0SGD03Z can group to MS-DRG 400, MS-DRG 488, MS-DRG 489, MS-DRG 907, MS-DRG 908 and MS-DRG 909.