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ICD-10-PCS 2027 procedure code

0SHP04ZInsertion of Internal Fixation Device into Right Toe Phalangeal Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Fix into R Toe Phalanx Jt, Open 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 0SHP04Z

0SHP04Z is the ICD-10-PCS code for a insertion procedure on the right toe phalangeal 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, foot and toe, the ICD-9-CM procedure title it maps to (80.18).

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 0SHP34Z (percutaneous) and 0SHP44Z (percutaneous endoscopic).

With a different device, use 0SHP03Z (infusion device), 0SHP05Z (external fixation device) and 0SHP08Z (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
PToe Phalangeal Joint, Right
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
4Internal 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 0SHP04Z

Is 0SHP04Z a valid ICD-10-PCS code for 2027?

Yes. 0SHP04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SHP04Z an O.R. procedure?

Yes. 0SHP04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SHP04Z group to?

Depending on the principal diagnosis, 0SHP04Z 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 0SHP04Z?

The CMS GEMs map 0SHP04Z to ICD-9-CM 80.18 (Other arthrotomy, foot and toe).