ICD-10-PCS 2027 procedure code
0SHP44ZInsertion of Internal Fixation Device into Right Toe Phalangeal Joint, Percutaneous Endoscopic Approach
Short description: Insert of Int Fix into R Toe Phalanx Jt, Perc Endo 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 0SHP44Z
0SHP44Z is the ICD-10-PCS code for a insertion procedure on the right toe phalangeal joint using a percutaneous endoscopic 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 0SH044Z (lumbar vertebral joint), 0SH344Z (lumbosacral joint), 0SH544Z (sacrococcygeal joint), 0SH644Z (coccygeal joint), 0SH744Z (right sacroiliac joint), 0SH844Z (left sacroiliac joint) and 13 more.
The same procedure with a different approach is coded 0SHP04Z (open) and 0SHP34Z (percutaneous).
With a different device, use 0SHP43Z (infusion device), 0SHP45Z (external fixation device) and 0SHP48Z (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
- 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SH044ZLumbar Vertebral Joint
- 0SH344ZLumbosacral Joint
- 0SH544ZSacrococcygeal Joint
- 0SH644ZCoccygeal Joint
- 0SH744ZSacroiliac Joint, Right
- 0SH844ZSacroiliac Joint, Left
- 0SH944ZHip Joint, Right
- 0SHB44ZHip Joint, Left
- 0SHC44ZKnee Joint, Right
- 0SHD44ZKnee Joint, Left
- 0SHF44ZAnkle Joint, Right
- 0SHG44ZAnkle Joint, Left
Different approach
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
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
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
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0SHP44Z
Is 0SHP44Z a valid ICD-10-PCS code for 2027?
- Yes. 0SHP44Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SHP44Z an O.R. procedure?
- Yes. 0SHP44Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SHP44Z group to?
- Depending on the principal diagnosis, 0SHP44Z 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 0SHP44Z?
- The CMS GEMs map 0SHP44Z to ICD-9-CM 80.18 (Other arthrotomy, foot and toe).