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ICD-10-PCS 2027 procedure code

0SH438ZInsertion of Spacer into Lumbosacral Disc, Percutaneous Approach

✓ Valid for 2027

Short description: Insertion of Spacer into Lumbosacral Disc, Perc 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 0SH438Z

0SH438Z is the ICD-10-PCS code for a insertion procedure on the lumbosacral disc using a percutaneous approach with spacer. 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 insertion or replacement of (cement) spacer, the ICD-9-CM procedure title it maps to (84.56).

For a different body part, codes include 0SH038Z (lumbar vertebral joint), 0SH238Z (lumbar vertebral disc), 0SH338Z (lumbosacral joint), 0SH538Z (sacrococcygeal joint), 0SH638Z (coccygeal joint), 0SH738Z (right sacroiliac joint) and 15 more.

The same procedure with a different approach is coded 0SH408Z (open) and 0SH448Z (percutaneous endoscopic).

With a different device, use 0SH433Z (infusion device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
4Lumbosacral Disc
5. Approach
3Percutaneous

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

6. Device
8Spacer
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

ICD-9-CM equivalent

Converter →
  • 84.56Insertion or replacement of (cement) spacerapproximate

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 0SH438Z

Is 0SH438Z a valid ICD-10-PCS code for 2027?

Yes. 0SH438Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0SH438Z?

The CMS GEMs map 0SH438Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).