ICD-10-PCS 2027 procedure code
0SPDX4ZRemoval of Internal Fixation Device from Left Knee Joint, External Approach
Short description: Removal of Int Fix from L Knee Jt, Extern 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 0SPDX4Z
0SPDX4Z is the ICD-10-PCS code for a removal procedure on the left knee joint using an external approach with internal fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to removal of other therapeutic device, the ICD-9-CM procedure title it maps to (97.89).
For a different body part, codes include 0SP0X4Z (lumbar vertebral joint), 0SP3X4Z (lumbosacral joint), 0SP5X4Z (sacrococcygeal joint), 0SP6X4Z (coccygeal joint), 0SP7X4Z (right sacroiliac joint), 0SP8X4Z (left sacroiliac joint) and 13 more.
The same procedure with a different approach is coded 0SPD04Z (open), 0SPD34Z (percutaneous) and 0SPD44Z (percutaneous endoscopic).
With a different device, use 0SPDX0Z (drainage device), 0SPDX3Z (infusion device) and 0SPDX5Z (external fixation device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- XExternal
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
- 6. Device
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SP0X4ZLumbar Vertebral Joint
- 0SP3X4ZLumbosacral Joint
- 0SP5X4ZSacrococcygeal Joint
- 0SP6X4ZCoccygeal Joint
- 0SP7X4ZSacroiliac Joint, Right
- 0SP8X4ZSacroiliac Joint, Left
- 0SP9X4ZHip Joint, Right
- 0SPBX4ZHip Joint, Left
- 0SPCX4ZKnee Joint, Right
- 0SPFX4ZAnkle Joint, Right
- 0SPGX4ZAnkle Joint, Left
- 0SPHX4ZTarsal Joint, Right
Different approach
ICD-9-CM equivalent
Converter →- 97.89Removal of other therapeutic deviceapproximate
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 0SPDX4Z
Is 0SPDX4Z a valid ICD-10-PCS code for 2027?
- Yes. 0SPDX4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0SPDX4Z?
- The CMS GEMs map 0SPDX4Z to ICD-9-CM 97.89 (Removal of other therapeutic device).