ICD-10-PCS 2027 procedure code
0SHD08ZInsertion of Spacer into Left Knee Joint, 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 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
Different body part
- 0SH008ZLumbar Vertebral Joint
- 0SH208ZLumbar Vertebral Disc
- 0SH308ZLumbosacral Joint
- 0SH408ZLumbosacral Disc
- 0SH508ZSacrococcygeal Joint
- 0SH608ZCoccygeal Joint
- 0SH708ZSacroiliac Joint, Right
- 0SH808ZSacroiliac Joint, Left
- 0SH908ZHip Joint, Right
- 0SHB08ZHip Joint, Left
- 0SHC08ZKnee Joint, Right
- 0SHF08ZAnkle Joint, Right
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 · 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
- 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 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).