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ICD-10-PCS 2027 procedure code

0SH604ZInsertion of Internal Fixation Device into Coccygeal Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Fix into Coccygeal Jt, Open 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 0SH604Z

0SH604Z is the ICD-10-PCS code for a insertion procedure on the coccygeal joint using an open 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 0SH004Z (lumbar vertebral joint), 0SH304Z (lumbosacral joint), 0SH504Z (sacrococcygeal joint), 0SH704Z (right sacroiliac joint), 0SH804Z (left sacroiliac joint), 0SH904Z (right hip joint) and 13 more.

The same procedure with a different approach is coded 0SH634Z (percutaneous) and 0SH644Z (percutaneous endoscopic).

With a different device, use 0SH603Z (infusion device) and 0SH608Z (spacer).

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
6Coccygeal 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
4Internal Fixation 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 →
  • 80.19Other arthrotomy, 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 0SH604Z

Is 0SH604Z a valid ICD-10-PCS code for 2027?

Yes. 0SH604Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SH604Z an O.R. procedure?

Yes. 0SH604Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SH604Z group to?

Depending on the principal diagnosis, 0SH604Z 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 0SH604Z?

The CMS GEMs map 0SH604Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).