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ICD-10-PCS 2027 procedure code

0SPK40ZRemoval of Drainage Device from Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Remove Drain Dev from R Tarsometatars Jt, Perc Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0SPK40Z

0SPK40Z is the ICD-10-PCS code for a removal procedure on the right tarsometatarsal 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, foot and toe, the ICD-9-CM procedure title it maps to (80.18).

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 0SPK00Z (open), 0SPK30Z (percutaneous) and 0SPKX0Z (external).

With a different device, use 0SPK43Z (infusion device), 0SPK44Z (internal fixation device), 0SPK45Z (external fixation device), 0SPK47Z (autologous tissue substitute), 0SPK48Z (spacer), 0SPK4JZ (synthetic substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot Procedures 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 “Foot Procedures” 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
KTarsometatarsal 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
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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Foot Procedures

ICD-9-CM equivalent

Converter →
  • 80.18Other arthrotomy, foot and toeapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Removal of Drainage Device from Right Metatarsal-Tarsal Joint, Percutaneous Endoscopic Approach”

Common questions about 0SPK40Z

Is 0SPK40Z a valid ICD-10-PCS code for 2027?

Yes. 0SPK40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPK40Z an O.R. procedure?

Yes. 0SPK40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SPK40Z group to?

Depending on the principal diagnosis, 0SPK40Z can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0SPK40Z?

The CMS GEMs map 0SPK40Z to ICD-9-CM 80.18 (Other arthrotomy, foot and toe).