ICD-10-PCS 2027 procedure code
0SPC48ZRemoval of Spacer from Right Knee Joint, Percutaneous Endoscopic Approach
Short description: Removal of Spacer from Right Knee 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 0SPC48Z
0SPC48Z is the ICD-10-PCS code for a removal procedure on the right knee 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), 0SP648Z (coccygeal joint), 0SP748Z (right sacroiliac joint), 0SP848Z (left sacroiliac joint) and 13 more.
The same procedure with a different approach is coded 0SPC08Z (open) and 0SPC38Z (percutaneous).
With a different device, use 0SPC40Z (drainage device), 0SPC43Z (infusion device), 0SPC44Z (internal fixation device), 0SPC45Z (external fixation device), 0SPC47Z (autologous tissue substitute), 0SPC4JZ (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
- 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
- 0SP648ZCoccygeal Joint
- 0SP748ZSacroiliac Joint, Right
- 0SP848ZSacroiliac Joint, Left
- 0SP948ZHip Joint, Right
- 0SPB48ZHip Joint, Left
- 0SPD48ZKnee Joint, Left
- 0SPF48ZAnkle Joint, Right
- 0SPG48ZAnkle Joint, Left
- 0SPH48ZTarsal Joint, Right
Different approach
Different device
- 0SPC40ZDrainage Device
- 0SPC43ZInfusion Device
- 0SPC44ZInternal Fixation Device
- 0SPC45ZExternal Fixation Device
- 0SPC47ZAutologous Tissue Substitute
- 0SPC4JZSynthetic Substitute
- 0SPC4KZNonautologous Tissue Substitute
- 0SPC4LZSynthetic Substitute, Unicondylar Medial
- 0SPC4MZSynthetic Substitute, Unicondylar Lateral
- 0SPC4NZSynthetic 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 · 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 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
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
- 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 0SPC48Z
Is 0SPC48Z a valid ICD-10-PCS code for 2027?
- Yes. 0SPC48Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPC48Z an O.R. procedure?
- No. 0SPC48Z is designated non-O.R. in MS-DRG v44.0.
What DRG does 0SPC48Z group to?
- Depending on the principal diagnosis, 0SPC48Z 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 0SPC48Z?
- The CMS GEMs map 0SPC48Z to ICD-9-CM 84.57 (Removal of (cement) spacer).