0SPB44Z ICD-10-PCS Code: Removal of Internal Fixation Device from Left Hip Joint, Percutaneous Endoscopic Approach
Removal of Int Fix from L Hip Jt, Perc Endo Approach
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.
| Position | Value | Meaning |
|---|---|---|
| 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 PartB | Hip Joint, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device4 | Internal Fixation Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
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 6 MS-DRGs:
- MDC 08 — Hip and Femur Procedures Except Major Joint: DRG 480, DRG 481, DRG 482
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
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.
0SP644Z — Removal of Internal Fixation Device from Coccygeal Joint, Percutaneous Endoscopic Approach, 0SP744Z — Removal of Internal Fixation Device from Right Sacroiliac Joint, Percutaneous Endoscopic Approach, 0SP844Z — Removal of Internal Fixation Device from Left Sacroiliac Joint, Percutaneous Endoscopic Approach, 0SP944Z — Removal of Internal Fixation Device from Right Hip Joint, Percutaneous Endoscopic Approach, 0SPC44Z — Removal of Internal Fixation Device from Right Knee Joint, Percutaneous Endoscopic Approach, 0SPD44Z — Removal of Internal Fixation Device from Left Knee Joint, Percutaneous Endoscopic Approach, 0SPF44Z — Removal of Internal Fixation Device from Right Ankle Joint, Percutaneous Endoscopic Approach, 0SPG44Z — Removal of Internal Fixation Device from Left Ankle Joint, Percutaneous Endoscopic Approach, +11 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0SPB04Z — Removal of Internal Fixation Device from Left Hip Joint, Open Approach, 0SPB34Z — Removal of Internal Fixation Device from Left Hip Joint, Percutaneous Approach, 0SPBX4Z — Removal of Internal Fixation Device from Left Hip Joint, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0SPB40Z — Removal of Drainage Device from Left Hip Joint, Percutaneous Endoscopic Approach, 0SPB43Z — Removal of Infusion Device from Left Hip Joint, Percutaneous Endoscopic Approach, 0SPB45Z — Removal of External Fixation Device from Left Hip Joint, Percutaneous Endoscopic Approach, 0SPB47Z — Removal of Autologous Tissue Substitute from Left Hip Joint, Percutaneous Endoscopic Approach, 0SPB48Z — Removal of Spacer from Left Hip Joint, Percutaneous Endoscopic Approach, 0SPB4JZ — Removal of Synthetic Substitute from Left Hip Joint, Percutaneous Endoscopic Approach, 0SPB4KZ — Removal of Nonautologous Tissue Substitute from Left Hip Joint, 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 Joint fusion (excluding spine) (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.
+1562 more
Contextual Map
Every relationship of 0SPB44Z 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 0SPB44Z with these 5 related codes in Claim Check
PCS table
- 0SP[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Joints — Body System: Lower Joints[Body System]: “Lower Joints”— CMS ICD-10-PCS tables
- Removal — Operation: Removal[Operation]: “Removal”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 480 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — Hip and Femur Procedures Except Major Joint (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 481 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — Hip and Femur Procedures Except Major Joint (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 482 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — Hip and Femur Procedures Except Major Joint (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- MST014 — Joint fusion (excluding spine)[CCSR category]: “Joint fusion (excluding spine) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (31735)
- 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 · FY2026
- 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 · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- and 31730 more
Nearest codes
- 0SP044Z — Removal of Internal Fixation Device from Lumbar Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SP344Z — Removal of Internal Fixation Device from Lumbosacral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SP544Z — Removal of Internal Fixation Device from Sacrococcygeal Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SP644Z — Removal of Internal Fixation Device from Coccygeal Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SP744Z — Removal of Internal Fixation Device from Right Sacroiliac Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SP844Z — Removal of Internal Fixation Device from Left Sacroiliac Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SP944Z — Removal of Internal Fixation Device from Right Hip Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SPB04Z — Removal of Internal Fixation Device from Left Hip Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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