ICD-10-PCS 2027 procedure code
0SWC4KZRevision of Nonautologous Tissue Substitute in Right Knee Joint, Percutaneous Endoscopic Approach
Short description: Revision of Nonaut Sub in R Knee 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 0SWC4KZ
0SWC4KZ is the ICD-10-PCS code for a revision procedure on the right knee joint using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.
In plain terms, this corresponds to other arthrotomy, knee, the ICD-9-CM procedure title it maps to (80.16).
For a different body part, codes include 0SW04KZ (lumbar vertebral joint), 0SW24KZ (lumbar vertebral disc), 0SW34KZ (lumbosacral joint), 0SW44KZ (lumbosacral disc), 0SW54KZ (sacrococcygeal joint), 0SW64KZ (coccygeal joint) and 15 more.
The same procedure with a different approach is coded 0SWC0KZ (open), 0SWC3KZ (percutaneous) and 0SWCXKZ (external).
With a different device, use 0SWC40Z (drainage device), 0SWC43Z (infusion device), 0SWC44Z (internal fixation device), 0SWC45Z (external fixation device), 0SWC47Z (autologous tissue substitute), 0SWC48Z (spacer) and 1 more.
It is an operating-room procedure in the MS-DRG logic for DRG 400 (Knee Procedures with Principal Diagnosis of Infection), DRG 403 (Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 404 (Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCC), DRG 488 (Knee Procedures without Principal Diagnosis of Infection with CC/MCC), DRG 489 (Knee Procedures without Principal Diagnosis of Infection without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Knee Procedures with Principal Diagnosis of Infection”, “Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection”, “Knee Procedures without Principal Diagnosis of Infection” and 1 more.
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
- WRevision
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin
Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis
- 4. Body Part
- CKnee 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
- KNonautologous Tissue Substitute
Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SW04KZLumbar Vertebral Joint
- 0SW24KZLumbar Vertebral Disc
- 0SW34KZLumbosacral Joint
- 0SW44KZLumbosacral Disc
- 0SW54KZSacrococcygeal Joint
- 0SW64KZCoccygeal Joint
- 0SW74KZSacroiliac Joint, Right
- 0SW84KZSacroiliac Joint, Left
- 0SW94KZHip Joint, Right
- 0SWB4KZHip Joint, Left
- 0SWD4KZKnee Joint, Left
- 0SWF4KZAnkle Joint, Right
Different approach
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 · Knee Procedures with Principal Diagnosis of Infection
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures without Principal Diagnosis of Infection
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.16Other arthrotomy, kneeapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0SWC4KZ
Is 0SWC4KZ a valid ICD-10-PCS code for 2027?
- Yes. 0SWC4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SWC4KZ an O.R. procedure?
- Yes. 0SWC4KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SWC4KZ group to?
- Depending on the principal diagnosis, 0SWC4KZ can group to MS-DRG 400, MS-DRG 403, MS-DRG 404, MS-DRG 488, MS-DRG 489 and MS-DRG 907.
What is the ICD-9 procedure code for 0SWC4KZ?
- The CMS GEMs map 0SWC4KZ to ICD-9-CM 80.16 (Other arthrotomy, knee).