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ICD-10-PCS 2027 procedure code

0SHF35ZInsertion of External Fixation Device into Right Ankle Joint, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Ext Fix into R Ankle Jt, 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 0SHF35Z

0SHF35Z is the ICD-10-PCS code for a insertion procedure on the right ankle joint using a percutaneous 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, ankle, the ICD-9-CM procedure title it maps to (80.17).

For a different body part, codes include 0SH935Z (right hip joint), 0SHB35Z (left hip joint), 0SHC35Z (right knee joint), 0SHD35Z (left knee joint), 0SHG35Z (left ankle joint), 0SHH35Z (right tarsal joint) and 7 more.

The same procedure with a different approach is coded 0SHF05Z (open) and 0SHF45Z (percutaneous endoscopic).

With a different device, use 0SHF33Z (infusion device), 0SHF34Z (internal fixation device) and 0SHF38Z (spacer).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur 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 “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” 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
FAnkle Joint, Right
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
5External 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 →
  • 80.17Other arthrotomy, ankleapproximate

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 0SHF35Z

Is 0SHF35Z a valid ICD-10-PCS code for 2027?

Yes. 0SHF35Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SHF35Z an O.R. procedure?

Yes. 0SHF35Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SHF35Z group to?

Depending on the principal diagnosis, 0SHF35Z can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0SHF35Z?

The CMS GEMs map 0SHF35Z to ICD-9-CM 80.17 (Other arthrotomy, ankle).