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Inpatient Procedure Code

0SPA0JZ ICD-10-PCS Code: Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Open Approach

Removal of Synth Sub from R Hip Jt, Acetab, Open Approach

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Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemS

Lower Joints

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartA

Hip Joint, Acetabular Surface, Right

5
Approach0

Open

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 7 MS-DRGs:

  • MDC 08 — Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders: DRG 463, DRG 464, DRG 465
  • MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
  • MDC 24 — Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma: DRG 956

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0SP60JZ — Removal of Synthetic Substitute from Coccygeal Joint, Open Approach, 0SP70JZ — Removal of Synthetic Substitute from Right Sacroiliac Joint, Open Approach, 0SP80JZ — Removal of Synthetic Substitute from Left Sacroiliac Joint, Open Approach, 0SP90JZ — Removal of Synthetic Substitute from Right Hip Joint, Open Approach, 0SPB0JZ — Removal of Synthetic Substitute from Left Hip Joint, Open Approach, 0SPC0JZ — Removal of Synthetic Substitute from Right Knee Joint, Open Approach, 0SPD0JZ — Removal of Synthetic Substitute from Left Knee Joint, Open Approach, 0SPE0JZ — Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Open Approach, +21 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0SPA3JZ — Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Approach, 0SPA4JZ — Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Hip arthroplasty (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0SH908Z — Insertion of Spacer into Right Hip Joint, Open Approach, 0SH938Z — Insertion of Spacer into Right Hip Joint, Percutaneous Approach, 0SH948Z — Insertion of Spacer into Right Hip Joint, Percutaneous Endoscopic Approach, 0SHB08Z — Insertion of Spacer into Left Hip Joint, Open Approach, 0SHB38Z — Insertion of Spacer into Left Hip Joint, Percutaneous Approach, 0SHB48Z — Insertion of Spacer into Left Hip Joint, Percutaneous Endoscopic Approach, 0SR9019 — Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach, 0SR901A — Replacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach, 0SR901Z — Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach, 0SR9029 — Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach, 0SR902A — Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SR902Z — Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach, 0SR9039 — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach, 0SR903A — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach, 0SR903Z — Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach, 0SR9049 — Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach, 0SR904A — Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SR904Z — Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach, 0SR9069 — Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach, 0SR906A — Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach, +160 more

Contextual Map

Every relationship of 0SPA0JZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run 0SPA0JZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

  • MST007 — Hip arthroplasty[CCSR category]: “Hip arthroplasty — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (40518)

  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
  • A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A18.02 — Tuberculous arthritis of other joints[Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A18.03 — Tuberculosis of other bones[Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • and 40513 more

Nearest codes

Change history

Change history

  • FY2017 — October 1, 2016
    Added to the code set
    Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Open Approach
    FY2017 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources