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ICD-10-PCS 2027 procedure code

0SPG40ZRemoval of Drainage Device from Left Ankle Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Drain Dev from L 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 0SPG40Z

0SPG40Z is the ICD-10-PCS code for a removal procedure on the left ankle joint using a percutaneous endoscopic approach with drainage 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 0SP040Z (lumbar vertebral joint), 0SP240Z (lumbar vertebral disc), 0SP340Z (lumbosacral joint), 0SP440Z (lumbosacral disc), 0SP540Z (sacrococcygeal joint), 0SP640Z (coccygeal joint) and 15 more.

The same procedure with a different approach is coded 0SPG00Z (open), 0SPG30Z (percutaneous) and 0SPGX0Z (external).

With a different device, use 0SPG43Z (infusion device), 0SPG44Z (internal fixation device), 0SPG45Z (external fixation device), 0SPG47Z (autologous tissue substitute), 0SPG48Z (spacer), 0SPG4JZ (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
GAnkle Joint, Left

Includes: Inferior tibiofibular joint; Talocrural 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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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 0SPG40Z

Is 0SPG40Z a valid ICD-10-PCS code for 2027?

Yes. 0SPG40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPG40Z an O.R. procedure?

Yes. 0SPG40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SPG40Z group to?

Depending on the principal diagnosis, 0SPG40Z 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 0SPG40Z?

The CMS GEMs map 0SPG40Z to ICD-9-CM 80.17 (Other arthrotomy, ankle).