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ICD-10-PCS 2027 procedure code

0SP437ZRemoval of Autologous Tissue Substitute from Lumbosacral Disc, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Autol Sub from Lumsac Disc, Perc 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 0SP437Z

0SP437Z is the ICD-10-PCS code for a removal procedure on the lumbosacral disc using a percutaneous approach with autologous tissue substitute. 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 0SP037Z (lumbar vertebral joint), 0SP237Z (lumbar vertebral disc), 0SP337Z (lumbosacral joint), 0SP537Z (sacrococcygeal joint), 0SP637Z (coccygeal joint), 0SP737Z (right sacroiliac joint) and 15 more.

The same procedure with a different approach is coded 0SP407Z (open) and 0SP447Z (percutaneous endoscopic).

With a different device, use 0SP430Z (drainage device), 0SP433Z (infusion device), 0SP43JZ (synthetic substitute) and 0SP43KZ (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
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 0SP437Z

Is 0SP437Z a valid ICD-10-PCS code for 2027?

Yes. 0SP437Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SP437Z an O.R. procedure?

Yes. 0SP437Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SP437Z group to?

Depending on the principal diagnosis, 0SP437Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0SP437Z?

The CMS GEMs map 0SP437Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).