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Inpatient Procedure Code

0SPV0JZ ICD-10-PCS Code: Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach

Removal of Synth Sub from R Knee Jt, Tibial, 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 PartV

Knee Joint, Tibial 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 9 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, 0SPU0JZ — Removal of Synthetic Substitute from Left Knee Joint, Femoral 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.

0SPV3JZ — Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Approach, 0SPV4JZ — Removal of Synthetic Substitute from Right Knee Joint, Tibial 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 0SPV0JZ 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 0SPV0JZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

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 (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 Knee Joint, Tibial 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