0SHD45ZInsertion of External Fixation Device into Left Knee Joint, Percutaneous Endoscopic Approach

0SHD45Z is the ICD-10-PCS code for a insertion procedure on the left knee joint using a percutaneous endoscopic approach with external 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, knee, the ICD-9-CM procedure title it maps to (80.16).

For a different body part, codes include 0SH945Z (right hip joint), 0SHB45Z (left hip joint), 0SHC45Z (right knee joint), 0SHF45Z (right ankle joint), 0SHG45Z (left ankle joint), 0SHH45Z (right tarsal joint) and 7 more.

The same procedure with a different approach is coded 0SHD05Z (open) and 0SHD35Z (percutaneous).

With a different device, use 0SHD43Z (infusion device), 0SHD44Z (internal fixation device) and 0SHD48Z (spacer).

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), DRG 489 (Knee Procedures without Principal Diagnosis of Infection without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Knee Procedures with Principal Diagnosis of Infection”, “Knee Procedures without Principal Diagnosis of Infection”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.