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Inpatient Procedure Code

0SPKX4Z ICD-10-PCS Code: Removal of Internal Fixation Device from Right Tarsometatarsal Joint, External Approach

Removal of Int Fix from R Tarsometatars Jt, Extern 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 PartK

Tarsometatarsal Joint, Right

5
ApproachX

External

6
Device4

Internal Fixation Device

7
QualifierZ

No Qualifier

Related Codes

Same operation — other Body Part

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

0SPFX4Z — Removal of Internal Fixation Device from Right Ankle Joint, External Approach, 0SPGX4Z — Removal of Internal Fixation Device from Left Ankle Joint, External Approach, 0SPHX4Z — Removal of Internal Fixation Device from Right Tarsal Joint, External Approach, 0SPJX4Z — Removal of Internal Fixation Device from Left Tarsal Joint, External Approach, 0SPLX4Z — Removal of Internal Fixation Device from Left Tarsometatarsal Joint, External Approach, 0SPMX4Z — Removal of Internal Fixation Device from Right Metatarsal-Phalangeal Joint, External Approach, 0SPNX4Z — Removal of Internal Fixation Device from Left Metatarsal-Phalangeal Joint, External Approach, 0SPPX4Z — Removal of Internal Fixation Device from Right Toe Phalangeal Joint, External Approach, +11 more

Same operation — other Approach

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

0SPK04Z — Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach, 0SPK34Z — Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Percutaneous Approach, 0SPK44Z — Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Percutaneous Endoscopic Approach

Same operation — other Device

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

0SPKX0Z — Removal of Drainage Device from Right Tarsometatarsal Joint, External Approach, 0SPKX3Z — Removal of Infusion Device from Right Tarsometatarsal Joint, External Approach, 0SPKX5Z — Removal of External Fixation Device from Right Tarsometatarsal Joint, External 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 0SPKX4Z 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.

PCS table

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

Nearest codes

Change history

Change history

  • FY2018 — October 1, 2017
    Description revised
    Removal of Internal Fixation Device from Right Metatarsal-Tarsal Joint, External Approach → Removal of Internal Fixation Device from Right Tarsometatarsal Joint, External Approach
    FY2018 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