ICD-10-PCS 2027 procedure code
0SPD0MZRemoval of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
Short description: Removal of Lat Unicnd 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 0SPD0MZ
0SPD0MZ is the ICD-10-PCS code for a removal procedure on the left knee joint using an open 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 0SPC0MZ (right knee joint).
The same procedure with a different approach is coded 0SPD3MZ (percutaneous) and 0SPD4MZ (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), 0SPD08Z (spacer) and 6 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
- 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
- MSynthetic Substitute, Unicondylar Lateral
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
- 0SPD00ZDrainage Device
- 0SPD03ZInfusion Device
- 0SPD04ZInternal Fixation Device
- 0SPD05ZExternal Fixation Device
- 0SPD07ZAutologous Tissue Substitute
- 0SPD08ZSpacer
- 0SPD09ZLiner
- 0SPD0EZArticulating Spacer
- 0SPD0JZSynthetic Substitute
- 0SPD0KZNonautologous Tissue Substitute
- 0SPD0LZSynthetic Substitute, Unicondylar Medial
- 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 · 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
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 0SPD0MZ
Is 0SPD0MZ a valid ICD-10-PCS code for 2027?
- Yes. 0SPD0MZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPD0MZ an O.R. procedure?
- Yes. 0SPD0MZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SPD0MZ group to?
- Depending on the principal diagnosis, 0SPD0MZ can group to MS-DRG 403, MS-DRG 404, MS-DRG 463, MS-DRG 464, MS-DRG 465 and MS-DRG 907.