ICD-10-PCS 2027 procedure code
0SPD08ZRemoval of Spacer from Left Knee Joint, 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 0SPD08Z
0SPD08Z is the ICD-10-PCS code for a removal procedure on the left knee joint using an open 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 0SP008Z (lumbar vertebral joint), 0SP308Z (lumbosacral joint), 0SP508Z (sacrococcygeal joint), 0SP608Z (coccygeal joint), 0SP708Z (right sacroiliac joint), 0SP808Z (left sacroiliac joint) and 13 more.
The same procedure with a different approach is coded 0SPD38Z (percutaneous) and 0SPD48Z (percutaneous endoscopic).
With a different device, use 0SPD00Z (drainage device), 0SPD03Z (infusion device), 0SPD04Z (internal fixation device), 0SPD05Z (external fixation device), 0SPD07Z (autologous tissue substitute), 0SPD09Z (liner) and 6 more.
It is an operating-room procedure in 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 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC) and DRG 959 (Other O.R. Procedures for Multiple Significant Trauma without CC/MCC), under the surgical categories “Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders”, “Other O.R. Procedures for Multiple Significant Trauma” 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
- 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
- 8Spacer
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SP008ZLumbar Vertebral Joint
- 0SP308ZLumbosacral Joint
- 0SP508ZSacrococcygeal Joint
- 0SP608ZCoccygeal Joint
- 0SP708ZSacroiliac Joint, Right
- 0SP808ZSacroiliac Joint, Left
- 0SP908ZHip Joint, Right
- 0SPB08ZHip Joint, Left
- 0SPC08ZKnee Joint, Right
- 0SPF08ZAnkle Joint, Right
- 0SPG08ZAnkle Joint, Left
- 0SPH08ZTarsal Joint, Right
Different approach
Different device
- 0SPD00ZDrainage Device
- 0SPD03ZInfusion Device
- 0SPD04ZInternal Fixation Device
- 0SPD05ZExternal Fixation Device
- 0SPD07ZAutologous Tissue Substitute
- 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 · 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 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
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 0SPD08Z
Is 0SPD08Z a valid ICD-10-PCS code for 2027?
- Yes. 0SPD08Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPD08Z an O.R. procedure?
- Yes. 0SPD08Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SPD08Z group to?
- Depending on the principal diagnosis, 0SPD08Z can group to MS-DRG 463, MS-DRG 464, MS-DRG 465, MS-DRG 957, MS-DRG 958 and MS-DRG 959.
What is the ICD-9 procedure code for 0SPD08Z?
- The CMS GEMs map 0SPD08Z to ICD-9-CM 84.57 (Removal of (cement) spacer).