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ICD-10-PCS 2027 procedure code

0SP008ZRemoval of Spacer from Lumbar Vertebral Joint, Open Approach

✓ Valid for 2027

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 0SP008Z

0SP008Z is the ICD-10-PCS code for a removal procedure on the lumbar vertebral joint using an open approach with spacer. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of (cement) spacer, the ICD-9-CM procedure title it maps to (84.57).

For a different body part, codes include 0SP308Z (lumbosacral joint), 0SP508Z (sacrococcygeal joint), 0SP608Z (coccygeal joint), 0SP708Z (right sacroiliac joint), 0SP808Z (left sacroiliac joint), 0SP908Z (right hip joint) and 13 more.

The same procedure with a different approach is coded 0SP038Z (percutaneous) and 0SP048Z (percutaneous endoscopic).

With a different device, use 0SP000Z (drainage device), 0SP003Z (infusion device), 0SP004Z (internal fixation device), 0SP007Z (autologous tissue substitute), 0SP00AZ (interbody fusion device), 0SP00JZ (synthetic substitute) and 1 more.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
0Lumbar Vertebral Joint

Includes: Lumbar facet joint

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
8Spacer
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 84.57Removal 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 0SP008Z

Is 0SP008Z a valid ICD-10-PCS code for 2027?

Yes. 0SP008Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0SP008Z?

The CMS GEMs map 0SP008Z to ICD-9-CM 84.57 (Removal of (cement) spacer).