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ICD-10-PCS 2027 procedure code

0SGD47ZFusion of Left Knee Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of Left Knee Joint with Autol Sub, 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 0SGD47Z

0SGD47Z is the ICD-10-PCS code for a fusion procedure on the left knee joint using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.

In plain terms, this corresponds to arthrodesis of knee, the ICD-9-CM procedure title it maps to (81.22).

For a different body part, codes include 0SG547Z (sacrococcygeal joint), 0SG747Z (right sacroiliac joint), 0SG847Z (left sacroiliac joint), 0SG947Z (right hip joint), 0SGB47Z (left hip joint), 0SGC47Z (right knee joint) and 10 more.

The same procedure with a different approach is coded 0SGD07Z (open) and 0SGD37Z (percutaneous).

With a different device, use 0SGD43Z (internal fixation device, sustained compression), 0SGD44Z (internal fixation device), 0SGD45Z (external fixation device), 0SGD4JZ (synthetic substitute) and 0SGD4KZ (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 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
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
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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

ICD-9-CM equivalent

Converter →
  • 81.22Arthrodesis of kneeapproximate

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 0SGD47Z

Is 0SGD47Z a valid ICD-10-PCS code for 2027?

Yes. 0SGD47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SGD47Z an O.R. procedure?

Yes. 0SGD47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SGD47Z group to?

Depending on the principal diagnosis, 0SGD47Z can group to MS-DRG 400, MS-DRG 488, MS-DRG 489, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0SGD47Z?

The CMS GEMs map 0SGD47Z to ICD-9-CM 81.22 (Arthrodesis of knee).