ICD-10-PCS 2027 procedure code
0SPC4MZRemoval of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
Short description: Removal of Lat 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 0SPC4MZ
0SPC4MZ is the ICD-10-PCS code for a removal procedure on the right knee joint using a percutaneous endoscopic approach with synthetic substitute, unicondylar lateral. In ICD-10-PCS, removal means taking out or off a device from a body part.
For a different body part, codes include 0SPD4MZ (left knee joint).
The same procedure with a different approach is coded 0SPC0MZ (open) and 0SPC3MZ (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 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
- 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
- MSynthetic Substitute, Unicondylar Lateral
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
- 0SPC40ZDrainage Device
- 0SPC43ZInfusion Device
- 0SPC44ZInternal Fixation Device
- 0SPC45ZExternal Fixation Device
- 0SPC47ZAutologous Tissue Substitute
- 0SPC48ZSpacer
- 0SPC4JZSynthetic Substitute
- 0SPC4KZNonautologous Tissue Substitute
- 0SPC4LZSynthetic Substitute, Unicondylar Medial
- 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 · 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
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 0SPC4MZ
Is 0SPC4MZ a valid ICD-10-PCS code for 2027?
- Yes. 0SPC4MZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPC4MZ an O.R. procedure?
- Yes. 0SPC4MZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SPC4MZ group to?
- Depending on the principal diagnosis, 0SPC4MZ can group to MS-DRG 403, MS-DRG 404, MS-DRG 463, MS-DRG 464, MS-DRG 465 and MS-DRG 907.