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ICD-10-PCS 2027 procedure code

0SPC4LZRemoval of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Med Unicnd from R Knee Jt, Perc Endo 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 0SPC4LZ

0SPC4LZ is the ICD-10-PCS code for a removal procedure on the right knee joint using a percutaneous endoscopic 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 0SPD4LZ (left knee joint).

The same procedure with a different approach is coded 0SPC0LZ (open) and 0SPC3LZ (percutaneous).

With a different device, use 0SPC40Z (drainage device), 0SPC43Z (infusion device), 0SPC44Z (internal fixation device), 0SPC45Z (external fixation device), 0SPC47Z (autologous tissue substitute), 0SPC48Z (spacer) 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 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 1 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
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
LSynthetic Substitute, Unicondylar Medial
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

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
  • FY2019 (effective 10/1/2018): Added
  • No changes since FY2019.

Common questions about 0SPC4LZ

Is 0SPC4LZ a valid ICD-10-PCS code for 2027?

Yes. 0SPC4LZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPC4LZ an O.R. procedure?

Yes. 0SPC4LZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SPC4LZ group to?

Depending on the principal diagnosis, 0SPC4LZ can group to MS-DRG 403, MS-DRG 404, MS-DRG 463, MS-DRG 464, MS-DRG 465 and MS-DRG 907.