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ICD-10-PCS 2027 procedure code

0SPB04ZRemoval of Internal Fixation Device from Left Hip Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from L Hip Jt, 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 0SPB04Z

0SPB04Z is the ICD-10-PCS code for a removal procedure on the left hip joint using an open 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, hip, the ICD-9-CM procedure title it maps to (80.15).

For a different body part, codes include 0SP004Z (lumbar vertebral joint), 0SP304Z (lumbosacral joint), 0SP504Z (sacrococcygeal joint), 0SP604Z (coccygeal joint), 0SP704Z (right sacroiliac joint), 0SP804Z (left sacroiliac joint) and 13 more.

The same procedure with a different approach is coded 0SPB34Z (percutaneous), 0SPB44Z (percutaneous endoscopic) and 0SPBX4Z (external).

With a different device, use 0SPB00Z (drainage device), 0SPB03Z (infusion device), 0SPB05Z (external fixation device), 0SPB07Z (autologous tissue substitute), 0SPB08Z (spacer), 0SPB09Z (liner) and 4 more.

It is an operating-room procedure in the MS-DRG logic for DRG 403 (Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 404 (Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCC), DRG 480 (Hip and Femur Procedures Except Major Joint with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 481 (Hip and Femur Procedures Except Major Joint with CC), DRG 482 (Hip and Femur Procedures Except Major Joint without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection”, “Hip and Femur Procedures Except Major Joint” and “Other O.R. Procedures for Injuries”.

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
BHip Joint, Left

Includes: Acetabulofemoral joint

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
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 →
  • 80.15Other arthrotomy, hipapproximate

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 0SPB04Z

Is 0SPB04Z a valid ICD-10-PCS code for 2027?

Yes. 0SPB04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPB04Z an O.R. procedure?

Yes. 0SPB04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SPB04Z group to?

Depending on the principal diagnosis, 0SPB04Z can group to MS-DRG 403, MS-DRG 404, MS-DRG 480, MS-DRG 481, MS-DRG 482 and MS-DRG 907.

What is the ICD-9 procedure code for 0SPB04Z?

The CMS GEMs map 0SPB04Z to ICD-9-CM 80.15 (Other arthrotomy, hip).