ICD-10-PCS 2027 procedure code
0SPD38ZRemoval of Spacer from Left Knee Joint, Percutaneous Approach
Short description: Removal of Spacer from Left Knee Joint, Perc 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 0SPD38Z
0SPD38Z is the ICD-10-PCS code for a removal procedure on the left knee joint using a percutaneous 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 0SP038Z (lumbar vertebral joint), 0SP338Z (lumbosacral joint), 0SP538Z (sacrococcygeal joint), 0SP638Z (coccygeal joint), 0SP738Z (right sacroiliac joint), 0SP838Z (left sacroiliac joint) and 13 more.
The same procedure with a different approach is coded 0SPD08Z (open) and 0SPD48Z (percutaneous endoscopic).
With a different device, use 0SPD30Z (drainage device), 0SPD33Z (infusion device), 0SPD34Z (internal fixation device), 0SPD35Z (external fixation device), 0SPD37Z (autologous tissue substitute), 0SPD3JZ (synthetic substitute) and 4 more.
It is a non-O.R. procedure that is part of 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 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
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- 8Spacer
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SP038ZLumbar Vertebral Joint
- 0SP338ZLumbosacral Joint
- 0SP538ZSacrococcygeal Joint
- 0SP638ZCoccygeal Joint
- 0SP738ZSacroiliac Joint, Right
- 0SP838ZSacroiliac Joint, Left
- 0SP938ZHip Joint, Right
- 0SPB38ZHip Joint, Left
- 0SPC38ZKnee Joint, Right
- 0SPF38ZAnkle Joint, Right
- 0SPG38ZAnkle Joint, Left
- 0SPH38ZTarsal Joint, Right
Different approach
Different device
- 0SPD30ZDrainage Device
- 0SPD33ZInfusion Device
- 0SPD34ZInternal Fixation Device
- 0SPD35ZExternal Fixation Device
- 0SPD37ZAutologous Tissue Substitute
- 0SPD3JZSynthetic Substitute
- 0SPD3KZNonautologous Tissue Substitute
- 0SPD3LZSynthetic Substitute, Unicondylar Medial
- 0SPD3MZSynthetic Substitute, Unicondylar Lateral
- 0SPD3NZSynthetic 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 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
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 0SPD38Z
Is 0SPD38Z a valid ICD-10-PCS code for 2027?
- Yes. 0SPD38Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPD38Z an O.R. procedure?
- No. 0SPD38Z is designated non-O.R. in MS-DRG v44.0.
What DRG does 0SPD38Z group to?
- Depending on the principal diagnosis, 0SPD38Z can group to MS-DRG 463, MS-DRG 464, MS-DRG 465, MS-DRG 461 and MS-DRG 462.
What is the ICD-9 procedure code for 0SPD38Z?
- The CMS GEMs map 0SPD38Z to ICD-9-CM 84.57 (Removal of (cement) spacer).