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ICD-10-PCS 2027 procedure code

0SWW4JZRevision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revise of Synth Sub in L Knee Jt, Tibial, Perc Endo Approach

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0SWW4JZ

0SWW4JZ is the ICD-10-PCS code for a revision procedure on the left knee joint, tibial surface using a percutaneous endoscopic approach with synthetic 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 revision of knee replacement, not otherwise specified, the ICD-9-CM procedure title it maps to (81.55).

For a different body part, codes include 0SW04JZ (lumbar vertebral joint), 0SW24JZ (lumbar vertebral disc), 0SW34JZ (lumbosacral joint), 0SW44JZ (lumbosacral disc), 0SW54JZ (sacrococcygeal joint), 0SW64JZ (coccygeal joint) and 23 more.

The same procedure with a different approach is coded 0SWW0JZ (open), 0SWW3JZ (percutaneous) and 0SWWXJZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 449 (Revision of Hip or Knee Prosthesis), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC) and DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC), under the surgical categories “Revision of Hip or Knee Prosthesis”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2017, effective October 1, 2016.

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
WKnee Joint, Tibial Surface, Left

Includes: Femorotibial 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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 · Revision of Hip or Knee Prosthesis

ICD-9-CM equivalent

Converter →
  • 81.55Revision of knee replacement, not otherwise specifiedapproximate

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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 0SWW4JZ

Is 0SWW4JZ a valid ICD-10-PCS code for 2027?

Yes. 0SWW4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SWW4JZ an O.R. procedure?

Yes. 0SWW4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SWW4JZ group to?

Depending on the principal diagnosis, 0SWW4JZ can group to MS-DRG 449, MS-DRG 907, MS-DRG 908, MS-DRG 909, MS-DRG 957 and MS-DRG 958.

What is the ICD-9 procedure code for 0SWW4JZ?

The CMS GEMs map 0SWW4JZ to ICD-9-CM 81.55 (Revision of knee replacement, not otherwise specified).