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ICD 10 Code 0SPK04Z

Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach
“Removal of Int Fix from R Tarsometatars Jt, Open Approach” for short

0SPK04Z is a valid billable ICD-10 procedure code for Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Removal involves:
Taking out or off a device from a body part. If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Open approach involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Removal includes:

  • Drainage tube removal, cardiac pacemaker removal
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Foot Procedures
    • DRG 503 - FOOT PROCEDURES WITH MCC
    • DRG 504 - FOOT PROCEDURES WITH CC
    • DRG 505 - FOOT PROCEDURES WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 99 Other
    Non-extensive Procedure Unrelated to Principal Diagnosis
    • DRG 987 - NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
    • DRG 988 - NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
    • DRG 989 - NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

ICD-10-PCS code structure for 0SPK04Z — See Table View

1: Section 0 Medical and Surgical
2: Body System S Lower Joints
3: Root Operation P Removal
4: Body Part K Tarsometatarsal Joint, Right
5: Approach 0 Open
6: Device 4 Internal Fixation Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.