ICD-10-PCS 2027 procedure code
0SWN0KZRevision of Nonautologous Tissue Substitute in Left Metatarsal-Phalangeal Joint, Open Approach
Short description: Revision of Nonaut Sub in L Metatarsophal Jt, Open 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 0SWN0KZ
0SWN0KZ is the ICD-10-PCS code for a revision procedure on the left metatarsal-phalangeal joint using an open 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 0SW00KZ (lumbar vertebral joint), 0SW20KZ (lumbar vertebral disc), 0SW30KZ (lumbosacral joint), 0SW40KZ (lumbosacral disc), 0SW50KZ (sacrococcygeal joint), 0SW60KZ (coccygeal joint) and 15 more.
The same procedure with a different approach is coded 0SWN3KZ (percutaneous), 0SWN4KZ (percutaneous endoscopic) and 0SWNXKZ (external).
With a different device, use 0SWN00Z (drainage device), 0SWN03Z (infusion device), 0SWN04Z (internal fixation device), 0SWN05Z (external fixation device), 0SWN07Z (autologous tissue substitute), 0SWN08Z (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
- NMetatarsal-Phalangeal Joint, Left
Includes: Metatarsophalangeal (MTP) joint
- 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
- 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
- 0SW00KZLumbar Vertebral Joint
- 0SW20KZLumbar Vertebral Disc
- 0SW30KZLumbosacral Joint
- 0SW40KZLumbosacral Disc
- 0SW50KZSacrococcygeal Joint
- 0SW60KZCoccygeal Joint
- 0SW70KZSacroiliac Joint, Right
- 0SW80KZSacroiliac Joint, Left
- 0SW90KZHip Joint, Right
- 0SWB0KZHip Joint, Left
- 0SWC0KZKnee Joint, Right
- 0SWD0KZKnee 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)
- No changes since FY2016.
Common questions about 0SWN0KZ
Is 0SWN0KZ a valid ICD-10-PCS code for 2027?
- Yes. 0SWN0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SWN0KZ an O.R. procedure?
- Yes. 0SWN0KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SWN0KZ group to?
- Depending on the principal diagnosis, 0SWN0KZ 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 0SWN0KZ?
- The CMS GEMs map 0SWN0KZ to ICD-9-CM 80.18 (Other arthrotomy, foot and toe).