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ICD-10-PCS 2027 procedure code

0SPL05ZRemoval of External Fixation Device from Left Tarsometatarsal Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Ext Fix from L Tarsometatars Jt, Open Approach

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 0SPL05Z

0SPL05Z is the ICD-10-PCS code for a removal procedure on the left tarsometatarsal joint using an open 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, foot and toe, the ICD-9-CM procedure title it maps to (80.18).

For a different body part, codes include 0SP905Z (right hip joint), 0SPB05Z (left hip joint), 0SPC05Z (right knee joint), 0SPD05Z (left knee joint), 0SPF05Z (right ankle joint), 0SPG05Z (left ankle joint) and 7 more.

The same procedure with a different approach is coded 0SPL35Z (percutaneous), 0SPL45Z (percutaneous endoscopic) and 0SPLX5Z (external).

With a different device, use 0SPL00Z (drainage device), 0SPL03Z (infusion device), 0SPL04Z (internal fixation device), 0SPL07Z (autologous tissue substitute), 0SPL08Z (spacer), 0SPL0JZ (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
LTarsometatarsal Joint, Left
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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.

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 External Fixation Device from Left Metatarsal-Tarsal Joint, Open Approach”

Common questions about 0SPL05Z

Is 0SPL05Z a valid ICD-10-PCS code for 2027?

Yes. 0SPL05Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SPL05Z an O.R. procedure?

Yes. 0SPL05Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SPL05Z group to?

Depending on the principal diagnosis, 0SPL05Z 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 0SPL05Z?

The CMS GEMs map 0SPL05Z to ICD-9-CM 80.18 (Other arthrotomy, foot and toe).