ICD-10-PCS 2027 procedure code
0SH044ZInsertion of Internal Fixation Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
Short description: Insertion of Int Fix into Lum Jt, 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 0SH044Z
0SH044Z is the ICD-10-PCS code for a insertion procedure on the lumbar vertebral joint using a percutaneous endoscopic approach with internal fixation device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.
In plain terms, this corresponds to other arthrotomy, other specified sites, the ICD-9-CM procedure title it maps to (80.19).
For a different body part, codes include 0SH344Z (lumbosacral joint), 0SH544Z (sacrococcygeal joint), 0SH644Z (coccygeal joint), 0SH744Z (right sacroiliac joint), 0SH844Z (left sacroiliac joint), 0SH944Z (right hip joint) and 13 more.
The same procedure with a different approach is coded 0SH004Z (open) and 0SH034Z (percutaneous).
With a different device, use 0SH043Z (infusion device), 0SH048Z (spacer), 0SH04BZ (spinal stabilization device, interspinous process), 0SH04CZ (spinal stabilization device, pedicle-based) and 0SH04DZ (spinal stabilization device, facet replacement).
It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC) and DRG 959 (Other O.R. Procedures for Multiple Significant Trauma without CC/MCC), under the surgical categories “Other Musculoskeletal System and Connective Tissue O.R. Procedures” 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
- HInsertion
Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part
Includes: Insertion of radioactive implant, insertion of central venous catheter
- 4. Body Part
- 0Lumbar Vertebral Joint
Includes: Lumbar facet 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
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 · Other Musculoskeletal System and Connective Tissue O.R. Procedures
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 80.19Other arthrotomy, other specified sitesapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0SH044Z
Is 0SH044Z a valid ICD-10-PCS code for 2027?
- Yes. 0SH044Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SH044Z an O.R. procedure?
- Yes. 0SH044Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SH044Z group to?
- Depending on the principal diagnosis, 0SH044Z can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 957, MS-DRG 958 and MS-DRG 959.
What is the ICD-9 procedure code for 0SH044Z?
- The CMS GEMs map 0SH044Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).