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ICD-10-PCS 2027 procedure code

0SPDX5ZRemoval of External Fixation Device from Left Knee Joint, External Approach

✓ Valid for 2027

Short description: Removal of Ext 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 0SPDX5Z

0SPDX5Z is the ICD-10-PCS code for a removal procedure on the left knee joint using an external 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 removal of external immobilization device, the ICD-9-CM procedure title it maps to (97.88).

For a different body part, codes include 0SP9X5Z (right hip joint), 0SPBX5Z (left hip joint), 0SPCX5Z (right knee joint), 0SPFX5Z (right ankle joint), 0SPGX5Z (left ankle joint), 0SPHX5Z (right tarsal joint) and 7 more.

The same procedure with a different approach is coded 0SPD05Z (open), 0SPD35Z (percutaneous) and 0SPD45Z (percutaneous endoscopic).

With a different device, use 0SPDX0Z (drainage device), 0SPDX3Z (infusion device) and 0SPDX4Z (internal 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
5External Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 97.88Removal of external immobilization deviceapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0SPDX5Z

Is 0SPDX5Z a valid ICD-10-PCS code for 2027?

Yes. 0SPDX5Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0SPDX5Z?

The CMS GEMs map 0SPDX5Z to ICD-9-CM 97.88 (Removal of external immobilization device).