0SPK04ZRemoval of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0SPK04Z
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0SPK04Z is a billable ICD-10-PCS procedure code for Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 6 MS-DRGs. The root operation Removal involves taking out or off a device from a body part.

Code Identity

ICD-10-PCS Code
0SPK04Z
Billable Status
Yes — Valid for Submission
Code Describes
Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach
Parent Code
Short Description
Removal of Int Fix from R Tarsometatars Jt, Open Approach

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemSLower Joints
3OperationPRemoval
4BodyPartKTarsometatarsal Joint, Right
5Approach0Open
6Device4Internal Fixation Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0SPK04Z under the General Equivalence Mappings.

80.18
Approximate match.

Similar Procedure Codes

Questions About 0SPK04Z

Is 0SPK04Z a billable code?

Yes. 0SPK04Z is a complete seven-character ICD-10-PCS code, specific enough to report Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0SPK04Z mean?

0SPK04Z breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character S is the Body System (Lower Joints); the 3rd character P is the Operation (Removal); the 4th character K is the BodyPart (Tarsometatarsal Joint, Right); the 5th character 0 is the Approach (Open); the 6th character 4 is the Device (Internal Fixation Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0SPK04Z group to?

On an inpatient stay, Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach maps to MS-DRGs 503, 504, 505, 907, 908, 909, with relative weights from 1.3127 to 3.8393. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0SPK04Z?

Under the General Equivalence Mappings, Removal of Internal Fixation Device from Right Tarsometatarsal Joint, Open Approach crosswalks to ICD-9-PCS 80.18. The mapping is approximate, so confirm it fits the documentation.