ICD-10-PCS 2027 procedure code
0SWG44ZRevision of Internal Fixation Device in Left Ankle Joint, Percutaneous Endoscopic Approach
Short description: Revision of Int Fix in 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 0SWG44Z
0SWG44Z is the ICD-10-PCS code for a revision procedure on the left ankle joint using a percutaneous endoscopic approach with internal 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, ankle, the ICD-9-CM procedure title it maps to (80.17).
For a different body part, codes include 0SW044Z (lumbar vertebral joint), 0SW344Z (lumbosacral joint), 0SW544Z (sacrococcygeal joint), 0SW644Z (coccygeal joint), 0SW744Z (right sacroiliac joint), 0SW844Z (left sacroiliac joint) and 13 more.
The same procedure with a different approach is coded 0SWG04Z (open), 0SWG34Z (percutaneous) and 0SWGX4Z (external).
With a different device, use 0SWG40Z (drainage device), 0SWG43Z (infusion device), 0SWG45Z (external fixation device), 0SWG47Z (autologous tissue substitute), 0SWG48Z (spacer), 0SWG4JZ (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
- 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
- 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SW044ZLumbar Vertebral Joint
- 0SW344ZLumbosacral Joint
- 0SW544ZSacrococcygeal Joint
- 0SW644ZCoccygeal Joint
- 0SW744ZSacroiliac Joint, Right
- 0SW844ZSacroiliac Joint, Left
- 0SW944ZHip Joint, Right
- 0SWB44ZHip Joint, Left
- 0SWC44ZKnee Joint, Right
- 0SWD44ZKnee Joint, Left
- 0SWF44ZAnkle Joint, Right
- 0SWH44ZTarsal 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 · Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
- 492Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void FillerRW 3.6914
- 493Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CCRW 2.5528
- 494Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCCRW 2.0257
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.17Other arthrotomy, ankleapproximate
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 0SWG44Z
Is 0SWG44Z a valid ICD-10-PCS code for 2027?
- Yes. 0SWG44Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SWG44Z an O.R. procedure?
- Yes. 0SWG44Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SWG44Z group to?
- Depending on the principal diagnosis, 0SWG44Z 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 0SWG44Z?
- The CMS GEMs map 0SWG44Z to ICD-9-CM 80.17 (Other arthrotomy, ankle).