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ICD-10-PCS 2027 procedure code

0SHD08ZInsertion of Spacer into Left Knee Joint, Open Approach

✓ Valid for 2027O.R. procedure

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 0SHD08Z

0SHD08Z is the ICD-10-PCS code for a insertion procedure on the left knee joint using an open 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 0SH008Z (lumbar vertebral joint), 0SH208Z (lumbar vertebral disc), 0SH308Z (lumbosacral joint), 0SH408Z (lumbosacral disc), 0SH508Z (sacrococcygeal joint), 0SH608Z (coccygeal joint) and 15 more.

The same procedure with a different approach is coded 0SHD38Z (percutaneous) and 0SHD48Z (percutaneous endoscopic).

With a different device, use 0SHD03Z (infusion device), 0SHD04Z (internal fixation device) and 0SHD05Z (external fixation device).

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) and DRG 489 (Knee Procedures without Principal Diagnosis of Infection without CC/MCC), under the surgical categories “Knee Procedures with Principal Diagnosis of Infection” and “Knee Procedures without Principal Diagnosis of Infection”.

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
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
8Spacer
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 →
  • 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 0SHD08Z

Is 0SHD08Z a valid ICD-10-PCS code for 2027?

Yes. 0SHD08Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SHD08Z an O.R. procedure?

Yes. 0SHD08Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SHD08Z group to?

Depending on the principal diagnosis, 0SHD08Z can group to MS-DRG 400, MS-DRG 488 and MS-DRG 489.

What is the ICD-9 procedure code for 0SHD08Z?

The CMS GEMs map 0SHD08Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).