ICD-10-PCS 2027 procedure code
0SPC4JCRemoval of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
Short description: Remove Synth Sub from R Knee Jt, Patella, Perc Endo
Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0SPC4JC
0SPC4JC is the ICD-10-PCS code for a removal procedure on the right knee joint using a percutaneous endoscopic approach with synthetic substitute (qualifier: patellar surface). In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to arthrotomy for removal of prosthesis without replacement, knee, the ICD-9-CM procedure title it maps to (80.06).
For a different body part, codes include 0SPD4JC (left knee joint).
The same procedure with a different approach is coded 0SPC0JC (open) and 0SPC3JC (percutaneous).
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 FY2017, effective October 1, 2016.
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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- CPatellar Surface
Other versions of this procedure
Different body part
Different approach
Different qualifier
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
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 →- 80.06Arthrotomy for removal of prosthesis without replacement, kneeapproximate
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
- FY2017 (effective 10/1/2016): Added
- No changes since FY2017.
Common questions about 0SPC4JC
Is 0SPC4JC a valid ICD-10-PCS code for 2027?
- Yes. 0SPC4JC is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPC4JC an O.R. procedure?
- Yes. 0SPC4JC is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SPC4JC group to?
- Depending on the principal diagnosis, 0SPC4JC can group to MS-DRG 403, MS-DRG 404, MS-DRG 463, MS-DRG 464, MS-DRG 465 and MS-DRG 907.
What is the ICD-9 procedure code for 0SPC4JC?
- The CMS GEMs map 0SPC4JC to ICD-9-CM 80.06 (Arthrotomy for removal of prosthesis without replacement, knee).