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ICD-10-PCS 2027 procedure code

0SHK48ZInsertion of Spacer into Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Insert of Spacer into R Tarsometatars Jt, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0SHK48Z

0SHK48Z is the ICD-10-PCS code for a insertion procedure on the right tarsometatarsal joint using a percutaneous endoscopic 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 0SH048Z (lumbar vertebral joint), 0SH248Z (lumbar vertebral disc), 0SH348Z (lumbosacral joint), 0SH448Z (lumbosacral disc), 0SH548Z (sacrococcygeal joint), 0SH648Z (coccygeal joint) and 15 more.

The same procedure with a different approach is coded 0SHK08Z (open) and 0SHK38Z (percutaneous).

With a different device, use 0SHK43Z (infusion device), 0SHK44Z (internal fixation device) and 0SHK45Z (external fixation device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
KTarsometatarsal Joint, Right
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
8Spacer
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Insertion of Spacer into Right Metatarsal-Tarsal Joint, Percutaneous Endoscopic Approach”

Common questions about 0SHK48Z

Is 0SHK48Z a valid ICD-10-PCS code for 2027?

Yes. 0SHK48Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0SHK48Z?

The CMS GEMs map 0SHK48Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).