Inpatient Procedure Code
0SWD4JC
Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
Revise Synth Sub in L Knee Jt, Patella, Perc Endo
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 OperationW | Revision Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device |
| 4 | Body PartD | Knee Joint, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | QualifierC | Patellar Surface |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:
- MDC 08 — Revision of Hip or Knee Replacement: DRG 466, DRG 467, DRG 468
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 0SWD4JC 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
- 0SW[PCS table]
- [object Object] — Section: [object Object] [Section]: “[object Object]”
- [object Object] — Body System: [object Object] [Body System]: “[object Object]”
- [object Object] — Operation: [object Object] [Operation]: “[object Object]”
MS-DRG participation (9)
- DRG 466 — REVISION OF HIP OR KNEE REPLACEMENT WITH MCC [MS-DRG]: “REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — Revision of Hip or Knee Replacement (MDC 08)”
- DRG 467 — REVISION OF HIP OR KNEE REPLACEMENT WITH CC [MS-DRG]: “REVISION OF HIP OR KNEE REPLACEMENT WITH CC — Revision of Hip or Knee Replacement (MDC 08)”
- DRG 468 — REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC [MS-DRG]: “REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — Revision of Hip or Knee Replacement (MDC 08)”
- 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)”
- 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)”
- 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)”
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- and 1 more
MDC crossing · diagnoses (40463)
- 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.”
- 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.”
- A02.23 — Salmonella arthritis [Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
- A02.24 — Salmonella osteomyelitis [Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
- A18.01 — Tuberculosis of spine [Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
- 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.” · check together
- 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.” · check together
- and 40458 more
Nearest codes
- 0SWC4JC — Revision of Synthetic Substitute in Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach [One axis away]
- 0SWD0JC — Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Open Approach [One axis away]
- 0SWD3JC — Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Percutaneous Approach [One axis away]
- 0SWD4JZ — Revision of Synthetic Substitute in Left Knee Joint, Percutaneous Endoscopic Approach [One axis away]
- 0SWDXJC — Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, External Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.