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ICD-10-PCS 2027 procedure code

0SPC38ZRemoval of Spacer from Right Knee Joint, Percutaneous Approach

✓ Valid for 2027Non-O.R. procedure

Short description: Removal of Spacer from Right Knee Joint, Perc 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 0SPC38Z

0SPC38Z is the ICD-10-PCS code for a removal procedure on the right knee joint using a percutaneous 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 0SP038Z (lumbar vertebral joint), 0SP338Z (lumbosacral joint), 0SP538Z (sacrococcygeal joint), 0SP638Z (coccygeal joint), 0SP738Z (right sacroiliac joint), 0SP838Z (left sacroiliac joint) and 13 more.

The same procedure with a different approach is coded 0SPC08Z (open) and 0SPC48Z (percutaneous endoscopic).

With a different device, use 0SPC30Z (drainage device), 0SPC33Z (infusion device), 0SPC34Z (internal fixation device), 0SPC35Z (external fixation device), 0SPC37Z (autologous tissue substitute), 0SPC3JZ (synthetic substitute) and 4 more.

It is a non-O.R. procedure that is part of the MS-DRG logic for 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), DRG 461 (Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC) and DRG 462 (Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC), under the surgical categories “Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders” and “Bilateral or Multiple Major Joint Procedures of Lower Extremity”.

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
CKnee Joint, Right
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
8Spacer
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.

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

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

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

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Bilateral or Multiple Major Joint Procedures of Lower Extremity

ICD-9-CM equivalent

Converter →
  • 84.57Removal of (cement) spacerapproximate

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 0SPC38Z

Is 0SPC38Z a valid ICD-10-PCS code for 2027?

Yes. 0SPC38Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPC38Z an O.R. procedure?

No. 0SPC38Z is designated non-O.R. in MS-DRG v44.0.

What DRG does 0SPC38Z group to?

Depending on the principal diagnosis, 0SPC38Z can group to MS-DRG 463, MS-DRG 464, MS-DRG 465, MS-DRG 461 and MS-DRG 462.

What is the ICD-9 procedure code for 0SPC38Z?

The CMS GEMs map 0SPC38Z to ICD-9-CM 84.57 (Removal of (cement) spacer).