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ICD-10-PCS 2027 procedure code

0SHM38ZInsertion of Spacer into Right Metatarsal-Phalangeal Joint, Percutaneous Approach

✓ Valid for 2027

Short description: Insertion of Spacer into R Metatarsophal 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 0SHM38Z

0SHM38Z is the ICD-10-PCS code for a insertion procedure on the right metatarsal-phalangeal joint using a percutaneous 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 0SH038Z (lumbar vertebral joint), 0SH238Z (lumbar vertebral disc), 0SH338Z (lumbosacral joint), 0SH438Z (lumbosacral disc), 0SH538Z (sacrococcygeal joint), 0SH638Z (coccygeal joint) and 15 more.

The same procedure with a different approach is coded 0SHM08Z (open) and 0SHM48Z (percutaneous endoscopic).

With a different device, use 0SHM33Z (infusion device), 0SHM34Z (internal fixation device) and 0SHM35Z (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
MMetatarsal-Phalangeal 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
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)
  • No changes since FY2016.

Common questions about 0SHM38Z

Is 0SHM38Z a valid ICD-10-PCS code for 2027?

Yes. 0SHM38Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0SHM38Z?

The CMS GEMs map 0SHM38Z to ICD-9-CM 84.56 (Insertion or replacement of (cement) spacer).