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ICD-10-PCS 2027 procedure code

0SP64KZRemoval of Nonautologous Tissue Substitute from Coccygeal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub 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 0SP64KZ

0SP64KZ is the ICD-10-PCS code for a removal procedure on the coccygeal joint using a percutaneous endoscopic approach with nonautologous 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 0SP04KZ (lumbar vertebral joint), 0SP24KZ (lumbar vertebral disc), 0SP34KZ (lumbosacral joint), 0SP44KZ (lumbosacral disc), 0SP54KZ (sacrococcygeal joint), 0SP74KZ (right sacroiliac joint) and 15 more.

The same procedure with a different approach is coded 0SP60KZ (open) and 0SP63KZ (percutaneous).

With a different device, use 0SP640Z (drainage device), 0SP643Z (infusion device), 0SP644Z (internal fixation device), 0SP647Z (autologous tissue substitute), 0SP648Z (spacer) and 0SP64JZ (synthetic 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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 0SP64KZ

Is 0SP64KZ a valid ICD-10-PCS code for 2027?

Yes. 0SP64KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SP64KZ an O.R. procedure?

Yes. 0SP64KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SP64KZ group to?

Depending on the principal diagnosis, 0SP64KZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0SP64KZ?

The CMS GEMs map 0SP64KZ to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).