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ICD-10-PCS 2027 procedure code

0SPF45ZRemoval of External Fixation Device from Right Ankle Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Ext Fix from R Ankle 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 0SPF45Z

0SPF45Z is the ICD-10-PCS code for a removal procedure on the right ankle 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, ankle, the ICD-9-CM procedure title it maps to (80.17).

For a different body part, codes include 0SP945Z (right hip joint), 0SPB45Z (left hip joint), 0SPC45Z (right knee joint), 0SPD45Z (left knee joint), 0SPG45Z (left ankle joint), 0SPH45Z (right tarsal joint) and 7 more.

The same procedure with a different approach is coded 0SPF05Z (open), 0SPF35Z (percutaneous) and 0SPFX5Z (external).

With a different device, use 0SPF40Z (drainage device), 0SPF43Z (infusion device), 0SPF44Z (internal fixation device), 0SPF47Z (autologous tissue substitute), 0SPF48Z (spacer), 0SPF4JZ (synthetic substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur 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 “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur” 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
FAnkle Joint, Right
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

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 80.17Other arthrotomy, ankleapproximate

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 0SPF45Z

Is 0SPF45Z a valid ICD-10-PCS code for 2027?

Yes. 0SPF45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPF45Z an O.R. procedure?

Yes. 0SPF45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SPF45Z group to?

Depending on the principal diagnosis, 0SPF45Z can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0SPF45Z?

The CMS GEMs map 0SPF45Z to ICD-9-CM 80.17 (Other arthrotomy, ankle).