0SWD4JZ ICD-10-PCS Code: Revision of Synthetic Substitute in Left Knee Joint, Percutaneous Endoscopic Approach
Revision of Synth Sub in L Knee 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 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 | 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 6 MS-DRGs:
- 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.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0SW94JZ — Revision of Synthetic Substitute in Right Hip Joint, Percutaneous Endoscopic Approach, 0SWA4JZ — Revision of Synthetic Substitute in Right Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach, 0SWB4JZ — Revision of Synthetic Substitute in Left Hip Joint, Percutaneous Endoscopic Approach, 0SWC4JZ — Revision of Synthetic Substitute in Right Knee Joint, Percutaneous Endoscopic Approach, 0SWE4JZ — Revision of Synthetic Substitute in Left Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach, 0SWF4JZ — Revision of Synthetic Substitute in Right Ankle Joint, Percutaneous Endoscopic Approach, 0SWG4JZ — Revision of Synthetic Substitute in Left Ankle Joint, Percutaneous Endoscopic Approach, 0SWH4JZ — Revision of Synthetic Substitute in Right Tarsal Joint, Percutaneous Endoscopic Approach, +21 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0SWD0JZ — Revision of Synthetic Substitute in Left Knee Joint, Open Approach, 0SWD3JZ — Revision of Synthetic Substitute in Left Knee Joint, Percutaneous Approach, 0SWDXJZ — Revision of Synthetic Substitute in Left Knee Joint, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0SWD40Z — Revision of Drainage Device in Left Knee Joint, Percutaneous Endoscopic Approach, 0SWD43Z — Revision of Infusion Device in Left Knee Joint, Percutaneous Endoscopic Approach, 0SWD44Z — Revision of Internal Fixation Device in Left Knee Joint, Percutaneous Endoscopic Approach, 0SWD45Z — Revision of External Fixation Device in Left Knee Joint, Percutaneous Endoscopic Approach, 0SWD47Z — Revision of Autologous Tissue Substitute in Left Knee Joint, Percutaneous Endoscopic Approach, 0SWD48Z — Revision of Spacer in Left Knee Joint, Percutaneous Endoscopic Approach, 0SWD4KZ — Revision of Nonautologous Tissue Substitute in Left Knee Joint, Percutaneous Endoscopic Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
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.
0SUC4KZ — Supplement Right Knee Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0SUD07Z — Supplement Left Knee Joint with Autologous Tissue Substitute, Open Approach, 0SUD09C — Supplement Left Knee Joint with Liner, Patellar Surface, Open Approach, 0SUD09Z — Supplement Left Knee Joint with Liner, Open Approach, 0SUD0JZ — Supplement Left Knee Joint with Synthetic Substitute, Open Approach, 0SUD0KZ — Supplement Left Knee Joint with Nonautologous Tissue Substitute, Open Approach, 0SUD37Z — Supplement Left Knee Joint with Autologous Tissue Substitute, Percutaneous Approach, 0SUD3JZ — Supplement Left Knee Joint with Synthetic Substitute, Percutaneous Approach, 0SUD3KZ — Supplement Left Knee Joint with Nonautologous Tissue Substitute, Percutaneous Approach, 0SUD47Z — Supplement Left Knee Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0SUD4JZ — Supplement Left Knee Joint with Synthetic Substitute, Percutaneous Endoscopic Approach, 0SUD4KZ — Supplement Left Knee Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0SUT09Z — Supplement Right Knee Joint, Femoral Surface with Liner, Open Approach, 0SUU09Z — Supplement Left Knee Joint, Femoral Surface with Liner, Open Approach, 0SUV09Z — Supplement Right Knee Joint, Tibial Surface with Liner, Open Approach, 0SUW09Z — Supplement Left Knee Joint, Tibial Surface with Liner, Open Approach, XRRG0L8 — Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8, XRRG0M8 — Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8, XRRH0L8 — Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8, XRRH0M8 — Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8, +132 more
Contextual Map
Every relationship of 0SWD4JZ 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 0SWD4JZ with these 5 related codes in Claim Check
PCS table
- 0SW[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
- Revision — Operation: Revision[Operation]: “Revision”— CMS ICD-10-PCS tables
MS-DRG participation
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 959 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
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 (15155)
- 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
- MDC 24 — Multiple Significant Trauma[MDC crossing]: “Multiple Significant Trauma — 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
- D47.Z1 — Post-transplant lymphoproliferative disorder (PTLD)[Same-MDC diagnosis]: “Post-transplant lymphoproliferative disorder (PTLD) — grouped in MDC 21, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D78.01 — Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen[Same-MDC diagnosis]: “Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen — grouped in MDC 21, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D78.02 — Intraoperative hemorrhage and hematoma of the spleen complicating other procedure[Same-MDC diagnosis]: “Intraoperative hemorrhage and hematoma of the spleen complicating other procedure — grouped in MDC 21, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D78.11 — Accidental puncture and laceration of the spleen during a procedure on the spleen[Same-MDC diagnosis]: “Accidental puncture and laceration of the spleen during a procedure on the spleen — grouped in MDC 21, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D78.12 — Accidental puncture and laceration of the spleen during other procedure[Same-MDC diagnosis]: “Accidental puncture and laceration of the spleen during other procedure — grouped in MDC 21, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 15150 more
Nearest codes
- 0SW04JZ — Revision of Synthetic Substitute in Lumbar Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SW24JZ — Revision of Synthetic Substitute in Lumbar Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SW34JZ — Revision of Synthetic Substitute in Lumbosacral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SW44JZ — Revision of Synthetic Substitute in Lumbosacral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SW54JZ — Revision of Synthetic Substitute in Sacrococcygeal Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SW64JZ — Revision of Synthetic Substitute in Coccygeal Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SW74JZ — Revision of Synthetic Substitute in Right Sacroiliac Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0SW84JZ — Revision of Synthetic Substitute in Left Sacroiliac Joint, Percutaneous Endoscopic 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 FY2016 onward. Note changes are not tracked.
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