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ICD-10-PCS 2027 procedure code

0SP644ZRemoval of Internal Fixation Device from Coccygeal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from Coccygeal 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 0SP644Z

0SP644Z is the ICD-10-PCS code for a removal procedure on the coccygeal joint using a percutaneous endoscopic approach with internal fixation 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 0SP044Z (lumbar vertebral joint), 0SP344Z (lumbosacral joint), 0SP544Z (sacrococcygeal joint), 0SP744Z (right sacroiliac joint), 0SP844Z (left sacroiliac joint), 0SP944Z (right hip joint) and 13 more.

The same procedure with a different approach is coded 0SP604Z (open), 0SP634Z (percutaneous) and 0SP6X4Z (external).

With a different device, use 0SP640Z (drainage device), 0SP643Z (infusion device), 0SP647Z (autologous tissue substitute), 0SP648Z (spacer), 0SP64JZ (synthetic substitute) and 0SP64KZ (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
6Coccygeal Joint
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

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 0SP644Z

Is 0SP644Z a valid ICD-10-PCS code for 2027?

Yes. 0SP644Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SP644Z an O.R. procedure?

Yes. 0SP644Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SP644Z group to?

Depending on the principal diagnosis, 0SP644Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0SP644Z?

The CMS GEMs map 0SP644Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).