0SHG04ZInsertion of Internal Fixation Device into Left Ankle Joint, Open Approach

0SHG04Z is the ICD-10-PCS code for a insertion procedure on the left ankle 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, ankle, the ICD-9-CM procedure title it maps to (80.17).

For a different body part, codes include 0SH004Z (lumbar vertebral joint), 0SH304Z (lumbosacral joint), 0SH504Z (sacrococcygeal joint), 0SH604Z (coccygeal joint), 0SH704Z (right sacroiliac joint), 0SH804Z (left sacroiliac joint) and 13 more.

The same procedure with a different approach is coded 0SHG34Z (percutaneous) and 0SHG44Z (percutaneous endoscopic).

With a different device, use 0SHG03Z (infusion device), 0SHG05Z (external fixation device) and 0SHG08Z (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.