ICD-10-PCS 2027 procedure code
0SPD45ZRemoval of External Fixation Device from Left Knee Joint, Percutaneous Endoscopic Approach
Short description: Removal of Ext Fix from L Knee Jt, Perc Endo 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 0SPD45Z
0SPD45Z is the ICD-10-PCS code for a removal procedure on the left knee joint using a percutaneous endoscopic approach with external fixation 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 0SP945Z (right hip joint), 0SPB45Z (left hip joint), 0SPC45Z (right knee joint), 0SPF45Z (right ankle joint), 0SPG45Z (left ankle joint), 0SPH45Z (right tarsal joint) and 7 more.
The same procedure with a different approach is coded 0SPD05Z (open), 0SPD35Z (percutaneous) and 0SPDX5Z (external).
With a different device, use 0SPD40Z (drainage device), 0SPD43Z (infusion device), 0SPD44Z (internal fixation device), 0SPD47Z (autologous tissue substitute), 0SPD48Z (spacer), 0SPD4JZ (synthetic substitute) and 4 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
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SP945ZHip Joint, Right
- 0SPB45ZHip Joint, Left
- 0SPC45ZKnee Joint, Right
- 0SPF45ZAnkle Joint, Right
- 0SPG45ZAnkle Joint, Left
- 0SPH45ZTarsal Joint, Right
- 0SPJ45ZTarsal Joint, Left
- 0SPK45ZTarsometatarsal Joint, Right
- 0SPL45ZTarsometatarsal Joint, Left
- 0SPM45ZMetatarsal-Phalangeal Joint, Right
- 0SPN45ZMetatarsal-Phalangeal Joint, Left
- 0SPP45ZToe Phalangeal Joint, Right
Different approach
Different device
- 0SPD40ZDrainage Device
- 0SPD43ZInfusion Device
- 0SPD44ZInternal Fixation Device
- 0SPD47ZAutologous Tissue Substitute
- 0SPD48ZSpacer
- 0SPD4JZSynthetic Substitute
- 0SPD4KZNonautologous Tissue Substitute
- 0SPD4LZSynthetic Substitute, Unicondylar Medial
- 0SPD4MZSynthetic Substitute, Unicondylar Lateral
- 0SPD4NZSynthetic 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 0SPD45Z
Is 0SPD45Z a valid ICD-10-PCS code for 2027?
- Yes. 0SPD45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SPD45Z an O.R. procedure?
- Yes. 0SPD45Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SPD45Z group to?
- Depending on the principal diagnosis, 0SPD45Z 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 0SPD45Z?
- The CMS GEMs map 0SPD45Z to ICD-9-CM 80.16 (Other arthrotomy, knee).