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ICD-10-PCS 2027 procedure code

0SHM45ZInsertion of External Fixation Device into Right Metatarsal-Phalangeal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert Ext Fix in R Metatarsophal Jt, Perc Endo

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 0SHM45Z

0SHM45Z is the ICD-10-PCS code for a insertion procedure on the right metatarsal-phalangeal 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, foot and toe, the ICD-9-CM procedure title it maps to (80.18).

For a different body part, codes include 0SH945Z (right hip joint), 0SHB45Z (left hip joint), 0SHC45Z (right knee joint), 0SHD45Z (left knee joint), 0SHF45Z (right ankle joint), 0SHG45Z (left ankle joint) and 7 more.

The same procedure with a different approach is coded 0SHM05Z (open) and 0SHM35Z (percutaneous).

With a different device, use 0SHM43Z (infusion device), 0SHM44Z (internal fixation device) and 0SHM48Z (spacer).

It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot Procedures 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 “Foot Procedures” and “Other O.R. Procedures for Injuries”.

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
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
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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Foot Procedures

ICD-9-CM equivalent

Converter →
  • 80.18Other arthrotomy, foot and toeapproximate

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 0SHM45Z

Is 0SHM45Z a valid ICD-10-PCS code for 2027?

Yes. 0SHM45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SHM45Z an O.R. procedure?

Yes. 0SHM45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SHM45Z group to?

Depending on the principal diagnosis, 0SHM45Z can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0SHM45Z?

The CMS GEMs map 0SHM45Z to ICD-9-CM 80.18 (Other arthrotomy, foot and toe).