ICD-10-PCS 2027 procedure code
0SWL4KZRevision of Nonautologous Tissue Substitute in Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach
Short description: Revise Nonaut Sub in L 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 0SWL4KZ
0SWL4KZ is the ICD-10-PCS code for a revision procedure on the left tarsometatarsal 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, foot and toe, the ICD-9-CM procedure title it maps to (80.18).
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 0SWL0KZ (open), 0SWL3KZ (percutaneous) and 0SWLXKZ (external).
With a different device, use 0SWL40Z (drainage device), 0SWL43Z (infusion device), 0SWL44Z (internal fixation device), 0SWL45Z (external fixation device), 0SWL47Z (autologous tissue substitute), 0SWL48Z (spacer) 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
- 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
- LTarsometatarsal Joint, Left
- 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
- 0SWC4KZKnee Joint, Right
- 0SWD4KZKnee Joint, Left
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 · Foot Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
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
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- FY2018 (effective 10/1/2017): Title revised — was “Revision of Nonautologous Tissue Substitute in Left Metatarsal-Tarsal Joint, Percutaneous Endoscopic Approach”
Common questions about 0SWL4KZ
Is 0SWL4KZ a valid ICD-10-PCS code for 2027?
- Yes. 0SWL4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SWL4KZ an O.R. procedure?
- Yes. 0SWL4KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SWL4KZ group to?
- Depending on the principal diagnosis, 0SWL4KZ 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 0SWL4KZ?
- The CMS GEMs map 0SWL4KZ to ICD-9-CM 80.18 (Other arthrotomy, foot and toe).