ICD-10-PCS 2027 procedure code
0SPC0LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
Short description: Removal of Med Unicnd from R Knee Jt, Open Approach
Code last changed in FY2019 (effective October 1, 2018). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0SPC0LZ
0SPC0LZ is the ICD-10-PCS code for a removal procedure on the right knee joint using an open approach with synthetic substitute, unicondylar medial. In ICD-10-PCS, removal means taking out or off a device from a body part.
For a different body part, codes include 0SPD0LZ (left knee joint).
The same procedure with a different approach is coded 0SPC3LZ (percutaneous) and 0SPC4LZ (percutaneous endoscopic).
With a different device, use 0SPC00Z (drainage device), 0SPC03Z (infusion device), 0SPC04Z (internal fixation device), 0SPC05Z (external fixation device), 0SPC07Z (autologous tissue substitute), 0SPC08Z (spacer) and 6 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 463 (Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 464 (Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC), DRG 465 (Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders 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”, “Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders”, “Other O.R. Procedures for Injuries” and 2 more.
It was added in FY2019, effective October 1, 2018.
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
- CKnee Joint, Right
- 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
- LSynthetic Substitute, Unicondylar Medial
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
- 0SPC00ZDrainage Device
- 0SPC03ZInfusion Device
- 0SPC04ZInternal Fixation Device
- 0SPC05ZExternal Fixation Device
- 0SPC07ZAutologous Tissue Substitute
- 0SPC08ZSpacer
- 0SPC09ZLiner
- 0SPC0EZArticulating Spacer
- 0SPC0JZSynthetic Substitute
- 0SPC0KZNonautologous Tissue Substitute
- 0SPC0MZSynthetic Substitute, Unicondylar Lateral
- 0SPC0NZSynthetic Substitute, Patellofemoral
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
- 463Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void FillerRW 5.1296
- 464Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CCRW 3.1764
- 465Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCCRW 2.4822
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Bilateral or Multiple Major Joint Procedures of Lower Extremity
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Bilateral or Multiple Major Joint Procedures of Lower Extremity
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Bilateral or Multiple Major Joint Procedures of Lower Extremity
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Bilateral or Multiple Major Joint Procedures of Lower Extremity
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2019 (effective 10/1/2018): Added
- No changes since FY2019.
Common questions about 0SPC0LZ
Is 0SPC0LZ a valid ICD-10-PCS code for 2027?
- Yes. 0SPC0LZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPC0LZ an O.R. procedure?
- Yes. 0SPC0LZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SPC0LZ group to?
- Depending on the principal diagnosis, 0SPC0LZ can group to MS-DRG 403, MS-DRG 404, MS-DRG 463, MS-DRG 464, MS-DRG 465 and MS-DRG 907.