ICD-10-PCS 2027 procedure code
0SPD03ZRemoval of Infusion Device from Left Knee Joint, Open Approach
Short description: Removal of Infusion Device from L Knee Jt, Open 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 0SPD03Z
0SPD03Z is the ICD-10-PCS code for a removal procedure on the left knee joint using an open approach with infusion device. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to other arthrotomy, knee, the ICD-9-CM procedure title it maps to (80.16).
For a different body part, codes include 0SP003Z (lumbar vertebral joint), 0SP203Z (lumbar vertebral disc), 0SP303Z (lumbosacral joint), 0SP403Z (lumbosacral disc), 0SP503Z (sacrococcygeal joint), 0SP603Z (coccygeal joint) and 15 more.
The same procedure with a different approach is coded 0SPD33Z (percutaneous), 0SPD43Z (percutaneous endoscopic) and 0SPDX3Z (external).
With a different device, use 0SPD00Z (drainage device), 0SPD04Z (internal fixation device), 0SPD05Z (external fixation device), 0SPD07Z (autologous tissue substitute), 0SPD08Z (spacer), 0SPD09Z (liner) and 6 more.
It is an operating-room procedure in the MS-DRG logic for DRG 400 (Knee Procedures with Principal Diagnosis of Infection), DRG 488 (Knee Procedures without Principal Diagnosis of Infection with CC/MCC), DRG 489 (Knee Procedures without Principal Diagnosis of Infection without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Knee Procedures with Principal Diagnosis of Infection”, “Knee Procedures without Principal Diagnosis of Infection” and “Other O.R. Procedures for Injuries”.
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
- DKnee Joint, Left
Includes: Femoropatellar joint; Femorotibial joint; Lateral meniscus; Medial meniscus; Patellofemoral joint; Tibiofemoral joint
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- 3Infusion Device
Includes: Ascenda Intrathecal Catheter; InDura, intrathecal catheter (1P) (spinal); Non-tunneled central venous catheter; Peripherally inserted central catheter (PICC); Tunneled spinal (intrathecal) catheter
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SP003ZLumbar Vertebral Joint
- 0SP203ZLumbar Vertebral Disc
- 0SP303ZLumbosacral Joint
- 0SP403ZLumbosacral Disc
- 0SP503ZSacrococcygeal Joint
- 0SP603ZCoccygeal Joint
- 0SP703ZSacroiliac Joint, Right
- 0SP803ZSacroiliac Joint, Left
- 0SP903ZHip Joint, Right
- 0SPB03ZHip Joint, Left
- 0SPC03ZKnee Joint, Right
- 0SPF03ZAnkle Joint, Right
Different approach
Different device
- 0SPD00ZDrainage Device
- 0SPD04ZInternal Fixation Device
- 0SPD05ZExternal Fixation Device
- 0SPD07ZAutologous Tissue Substitute
- 0SPD08ZSpacer
- 0SPD09ZLiner
- 0SPD0EZArticulating Spacer
- 0SPD0JZSynthetic Substitute
- 0SPD0KZNonautologous Tissue Substitute
- 0SPD0LZSynthetic Substitute, Unicondylar Medial
- 0SPD0MZSynthetic Substitute, Unicondylar Lateral
- 0SPD0NZSynthetic 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 · Knee Procedures with Principal Diagnosis of Infection
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures without Principal Diagnosis of Infection
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.16Other arthrotomy, 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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0SPD03Z
Is 0SPD03Z a valid ICD-10-PCS code for 2027?
- Yes. 0SPD03Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPD03Z an O.R. procedure?
- Yes. 0SPD03Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SPD03Z group to?
- Depending on the principal diagnosis, 0SPD03Z can group to MS-DRG 400, MS-DRG 488, MS-DRG 489, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0SPD03Z?
- The CMS GEMs map 0SPD03Z to ICD-9-CM 80.16 (Other arthrotomy, knee).