Inpatient Procedure Code

0SWL0JZICD-10-PCS Code: Revision of Synthetic Substitute in Left Tarsometatarsal Joint, Open Approach

Revision of Synth Sub in L Tarsometatars Jt, 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.

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 PartL	Tarsometatarsal Joint, Left
5	Approach0	Open
6	DeviceJ	Synthetic Substitute
7	QualifierZ	No Qualifier

View all codes in this table

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 — Other Musculoskeletal System and Connective Tissue O.R. Procedures: DRG 515, DRG 516, DRG 517
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.

0SWG0JZ — Revision of Synthetic Substitute in Left Ankle Joint, Open Approach, 0SWH0JZ — Revision of Synthetic Substitute in Right Tarsal Joint, Open Approach, 0SWJ0JZ — Revision of Synthetic Substitute in Left Tarsal Joint, Open Approach, 0SWK0JZ — Revision of Synthetic Substitute in Right Tarsometatarsal Joint, Open Approach, 0SWM0JZ — Revision of Synthetic Substitute in Right Metatarsal-Phalangeal Joint, Open Approach, 0SWN0JZ — Revision of Synthetic Substitute in Left Metatarsal-Phalangeal Joint, Open Approach, 0SWP0JZ — Revision of Synthetic Substitute in Right Toe Phalangeal Joint, Open Approach, 0SWQ0JZ — Revision of Synthetic Substitute in Left Toe Phalangeal Joint, Open Approach, +21 more

Same operation — other Approach

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

0SWL3JZ — Revision of Synthetic Substitute in Left Tarsometatarsal Joint, Percutaneous Approach, 0SWL4JZ — Revision of Synthetic Substitute in Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach, 0SWLXJZ — Revision of Synthetic Substitute in Left Tarsometatarsal Joint, External Approach

Same operation — other Device

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

0SWL00Z — Revision of Drainage Device in Left Tarsometatarsal Joint, Open Approach, 0SWL03Z — Revision of Infusion Device in Left Tarsometatarsal Joint, Open Approach, 0SWL04Z — Revision of Internal Fixation Device in Left Tarsometatarsal Joint, Open Approach, 0SWL05Z — Revision of External Fixation Device in Left Tarsometatarsal Joint, Open Approach, 0SWL07Z — Revision of Autologous Tissue Substitute in Left Tarsometatarsal Joint, Open Approach, 0SWL08Z — Revision of Spacer in Left Tarsometatarsal Joint, Open Approach, 0SWL0KZ — Revision of Nonautologous Tissue Substitute in Left Tarsometatarsal Joint, Open Approach

Contextual Map

Every relationship of 0SWL0JZ 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]
Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
Lower Joints — Body System: Lower Joints [Body System]: “Lower Joints”
Revision — Operation: Revision [Operation]: “Revision”

MS-DRG participation (9)

DRG 515 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”
DRG 516 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”
DRG 517 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (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

0SW00JZ — Revision of Synthetic Substitute in Lumbar Vertebral Joint, Open Approach [One axis away]
0SW20JZ — Revision of Synthetic Substitute in Lumbar Vertebral Disc, Open Approach [One axis away]
0SW30JZ — Revision of Synthetic Substitute in Lumbosacral Joint, Open Approach [One axis away]
0SW40JZ — Revision of Synthetic Substitute in Lumbosacral Disc, Open Approach [One axis away]
0SW50JZ — Revision of Synthetic Substitute in Sacrococcygeal Joint, Open Approach [One axis away]
0SW60JZ — Revision of Synthetic Substitute in Coccygeal Joint, Open Approach [One axis away]
0SW70JZ — Revision of Synthetic Substitute in Right Sacroiliac Joint, Open Approach [One axis away]
0SW80JZ — Revision of Synthetic Substitute in Left Sacroiliac Joint, Open Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.