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ICD-10-PCS 2027 procedure code

0SWD45ZRevision of External Fixation Device in Left Knee Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Ext Fix in L 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 0SWD45Z

0SWD45Z is the ICD-10-PCS code for a revision procedure on the left knee joint using a percutaneous endoscopic approach with external fixation device. 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 0SW945Z (right hip joint), 0SWB45Z (left hip joint), 0SWC45Z (right knee joint), 0SWF45Z (right ankle joint), 0SWG45Z (left ankle joint), 0SWH45Z (right tarsal joint) and 7 more.

The same procedure with a different approach is coded 0SWD05Z (open), 0SWD35Z (percutaneous) and 0SWDX5Z (external).

With a different device, use 0SWD40Z (drainage device), 0SWD43Z (infusion device), 0SWD44Z (internal fixation device), 0SWD47Z (autologous tissue substitute), 0SWD48Z (spacer), 0SWD4JZ (synthetic substitute) 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 488 (Knee Procedures without Principal Diagnosis of Infection with CC/MCC), DRG 489 (Knee Procedures without Principal Diagnosis of Infection 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 “Knee Procedures with Principal Diagnosis of Infection”, “Knee Procedures without Principal Diagnosis of Infection” 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
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
DKnee Joint, Left

Includes: Femoropatellar joint; Femorotibial joint; Lateral meniscus; Medial meniscus; Patellofemoral joint; Tibiofemoral 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
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 · Knee Procedures with Principal Diagnosis of Infection

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures without Principal Diagnosis of Infection

ICD-9-CM equivalent

Converter →
  • 80.16Other arthrotomy, kneeapproximate

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 0SWD45Z

Is 0SWD45Z a valid ICD-10-PCS code for 2027?

Yes. 0SWD45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SWD45Z an O.R. procedure?

Yes. 0SWD45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SWD45Z group to?

Depending on the principal diagnosis, 0SWD45Z can group to MS-DRG 400, MS-DRG 488, MS-DRG 489, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0SWD45Z?

The CMS GEMs map 0SWD45Z to ICD-9-CM 80.16 (Other arthrotomy, knee).