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Inpatient Procedure Code

0SPU0JZ ICD-10-PCS Code: Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach

Removal of Synth Sub from L Knee Jt, Femoral, Open 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.

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 PartU

Knee Joint, Femoral Surface, Left

5
Approach0

Open

6
DeviceJ

Synthetic Substitute

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 12 MS-DRGs:

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.

0SPN0JZ — Removal of Synthetic Substitute from Left Metatarsal-Phalangeal Joint, Open Approach, 0SPP0JZ — Removal of Synthetic Substitute from Right Toe Phalangeal Joint, Open Approach, 0SPQ0JZ — Removal of Synthetic Substitute from Left Toe Phalangeal Joint, Open Approach, 0SPR0JZ — Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Open Approach, 0SPS0JZ — Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach, 0SPT0JZ — Removal of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach, 0SPV0JZ — Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach, 0SPW0JZ — Removal of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach, +21 more

Same operation — other Approach

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

0SPU3JZ — Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Approach, 0SPU4JZ — Removal of Synthetic Substitute from Left Knee Joint, Femoral 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 Knee 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.

0SHC08Z — Insertion of Spacer into Right Knee Joint, Open Approach, 0SHC38Z — Insertion of Spacer into Right Knee Joint, Percutaneous Approach, 0SHC48Z — Insertion of Spacer into Right Knee Joint, Percutaneous Endoscopic Approach, 0SHD08Z — Insertion of Spacer into Left Knee Joint, Open Approach, 0SHD38Z — Insertion of Spacer into Left Knee Joint, Percutaneous Approach, 0SHD48Z — Insertion of Spacer into Left Knee Joint, Percutaneous Endoscopic Approach, 0SRC069 — Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach, 0SRC06A — Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach, 0SRC06Z — Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach, 0SRC07D — Replacement of Right Knee Joint with Autologous Tissue Substitute, Medial Meniscus, Open Approach, 0SRC07E — Replacement of Right Knee Joint with Autologous Tissue Substitute, Lateral Meniscus, Open Approach, 0SRC07Z — Replacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach, 0SRC0EZ — Replacement of Right Knee Joint with Articulating Spacer, Open Approach, 0SRC0J9 — Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach, 0SRC0JA — Replacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach, 0SRC0JZ — Replacement of Right Knee Joint with Synthetic Substitute, Open Approach, 0SRC0KD — Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Medial Meniscus, Open Approach, 0SRC0KE — Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Lateral Meniscus, Open Approach, 0SRC0KZ — Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach, 0SRC0L9 — Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach, +138 more

Contextual Map

Every relationship of 0SPU0JZ 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 0SPU0JZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (12)

Clinical classification (CCSR)

  • MST006 — Knee arthroplasty[CCSR category]: “Knee arthroplasty — 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

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