ICD-10-PCS 2027 procedure code
0SP648ZRemoval of Spacer from Coccygeal Joint, Percutaneous Endoscopic Approach
Short description: Removal of Spacer from Coccygeal Joint, 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 0SP648Z
0SP648Z is the ICD-10-PCS code for a removal procedure on the coccygeal joint using a percutaneous endoscopic 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 0SP048Z (lumbar vertebral joint), 0SP348Z (lumbosacral joint), 0SP548Z (sacrococcygeal joint), 0SP748Z (right sacroiliac joint), 0SP848Z (left sacroiliac joint), 0SP948Z (right hip joint) and 13 more.
The same procedure with a different approach is coded 0SP608Z (open) and 0SP638Z (percutaneous).
With a different device, use 0SP640Z (drainage device), 0SP643Z (infusion device), 0SP644Z (internal fixation device), 0SP647Z (autologous tissue substitute), 0SP64JZ (synthetic substitute) and 0SP64KZ (nonautologous tissue substitute).
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
- 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
- 8Spacer
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SP048ZLumbar Vertebral Joint
- 0SP348ZLumbosacral Joint
- 0SP548ZSacrococcygeal Joint
- 0SP748ZSacroiliac Joint, Right
- 0SP848ZSacroiliac Joint, Left
- 0SP948ZHip Joint, Right
- 0SPB48ZHip Joint, Left
- 0SPC48ZKnee Joint, Right
- 0SPD48ZKnee Joint, Left
- 0SPF48ZAnkle Joint, Right
- 0SPG48ZAnkle Joint, Left
- 0SPH48ZTarsal Joint, Right
Different approach
ICD-9-CM equivalent
Converter →- 84.57Removal of (cement) spacerapproximate
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 0SP648Z
Is 0SP648Z a valid ICD-10-PCS code for 2027?
- Yes. 0SP648Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0SP648Z?
- The CMS GEMs map 0SP648Z to ICD-9-CM 84.57 (Removal of (cement) spacer).