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ICD-10-PCS 2027 procedure code

0SPD0EZRemoval of Articulating Spacer from Left Knee Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Articulating Spacer from L Knee Jt, Open 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 0SPD0EZ

0SPD0EZ is the ICD-10-PCS code for a removal procedure on the left knee joint using an open approach with articulating spacer. In ICD-10-PCS, removal means taking out or off a device from a body part.

For a different body part, codes include 0SP90EZ (right hip joint), 0SPB0EZ (left hip joint) and 0SPC0EZ (right knee joint).

With a different device, use 0SPD00Z (drainage device), 0SPD03Z (infusion device), 0SPD04Z (internal fixation device), 0SPD05Z (external fixation device), 0SPD07Z (autologous tissue substitute), 0SPD08Z (spacer) 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 461 (Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC) and DRG 462 (Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC), under the surgical categories “Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders” and “Bilateral or Multiple Major Joint Procedures of Lower Extremity”.

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
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
EArticulating Spacer
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 · 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

  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 0SPD0EZ

Is 0SPD0EZ a valid ICD-10-PCS code for 2027?

Yes. 0SPD0EZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPD0EZ an O.R. procedure?

Yes. 0SPD0EZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SPD0EZ group to?

Depending on the principal diagnosis, 0SPD0EZ can group to MS-DRG 463, MS-DRG 464, MS-DRG 465, MS-DRG 461 and MS-DRG 462.