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ICD-10-PCS 2027 procedure code

0SP400ZRemoval of Drainage Device from Lumbosacral Disc, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Drainage Device from Lumsac Disc, 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 0SP400Z

0SP400Z is the ICD-10-PCS code for a removal procedure on the lumbosacral disc using an open approach with drainage device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other arthrotomy, other specified sites, the ICD-9-CM procedure title it maps to (80.19).

For a different body part, codes include 0SP000Z (lumbar vertebral joint), 0SP200Z (lumbar vertebral disc), 0SP300Z (lumbosacral joint), 0SP500Z (sacrococcygeal joint), 0SP600Z (coccygeal joint), 0SP700Z (right sacroiliac joint) and 15 more.

The same procedure with a different approach is coded 0SP430Z (percutaneous), 0SP440Z (percutaneous endoscopic) and 0SP4X0Z (external).

With a different device, use 0SP403Z (infusion device), 0SP407Z (autologous tissue substitute), 0SP40JZ (synthetic substitute) and 0SP40KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.

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
4Lumbosacral Disc
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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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.

ICD-9-CM equivalent

Converter →
  • 80.19Other arthrotomy, other specified sitesapproximate

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 0SP400Z

Is 0SP400Z a valid ICD-10-PCS code for 2027?

Yes. 0SP400Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SP400Z an O.R. procedure?

Yes. 0SP400Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SP400Z group to?

Depending on the principal diagnosis, 0SP400Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0SP400Z?

The CMS GEMs map 0SP400Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).