ICD-10-PCS Code For Lumbar Vertebral Joint: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SP0 includes procedures performed to remove devices or material from the lumbar vertebral joint. These ICD-10-PCS codes are used for inpatient documentation when a device, implant, or other material is taken out of the lumbar vertebral joint during a surgical encounter. Accurate coding within the ICD-10-PCS 0SP0 group is essential for proper inpatient reimbursement, as it captures the specific removal procedure performed and supports clinical documentation accuracy.

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Lumbar Vertebral Joint Removal Procedure Overview

This procedure group includes removal operations performed on the lumbar vertebral joint within the lower joints body system. Procedures in this group involve taking out or off a device, implant, or other material from the lumbar vertebral joint and surrounding structures. Accurate assignment of these codes ensures the inpatient record reflects the operation performed and supports appropriate billing and case mix grouping.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
P	Operation	Removal
0	Body Part	Lumbar Vertebral Joint

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ICD-10-PCS Code For Lumbar Vertebral Joint: Procedure Code Group Overview

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Lumbar Vertebral Joint Removal Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
P	Operation	Removal
0	Body Part	Lumbar Vertebral Joint

When to Use

Use a code from this group when a device, implant, or other foreign material is surgically removed from the lumbar vertebral joint during an inpatient stay. Do not use these codes for removals performed on other joints or for non-removal procedures on the lumbar vertebral joint.

ICD-10-PCS Codes

27 rows

ICD-10-PCS Code	Description
0SP000Z	Removal of Drainage Device from Lumbar Vertebral Joint, Open Approach
0SP003Z	Removal of Infusion Device from Lumbar Vertebral Joint, Open Approach
0SP004Z	Removal of Internal Fixation Device from Lumbar Vertebral Joint, Open Approach
0SP007Z	Removal of Autologous Tissue Substitute from Lumbar Vertebral Joint, Open Approach
0SP008Z	Removal of Spacer from Lumbar Vertebral Joint, Open Approach
0SP00AZ	Removal of Interbody Fusion Device from Lumbar Vertebral Joint, Open Approach
0SP00JZ	Removal of Synthetic Substitute from Lumbar Vertebral Joint, Open Approach
0SP00KZ	Removal of Nonautologous Tissue Substitute from Lumbar Vertebral Joint, Open Approach
0SP030Z	Removal of Drainage Device from Lumbar Vertebral Joint, Percutaneous Approach
0SP033Z	Removal of Infusion Device from Lumbar Vertebral Joint, Percutaneous Approach

Showing 1–10 of 27

DRG Codes

12 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
516	Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
517	Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a history of lumbar spinal fusion presents with increasing focal back pain, progressive neurological deficits, and radiographic evidence of hardware loosening several months after the index surgery; the inpatient admission is for removal of the loosened posterior internal fixation to control pain and prevent further neurologic compromise. Typical codes: 0SP004Z, 0SP034Z
A middle-aged patient admitted electively for removal of an interbody fusion device placed years earlier because of persistent mechanical back pain refractory to conservative measures; preoperative planning targets extraction of the fusion spacer and adjacent scar tissue in a controlled operative setting. Typical codes: 0SP00AZ, 0SP03AZ
A patient develops postoperative wound drainage and infection after lumbar instrumentation and requires urgent operative debridement with removal of an infected drainage device or externalized infusion catheter from the lumbar vertebral joint during the same inpatient stay to control the infection. Typical codes: 0SP000Z, 0SP030Z

Related Codes

0SP2-LUMBAR-VERTEBRAL-DISC-REMOVAL

ICD-10-PCS Code For Lumbar Vertebral Disc: Procedure Code Group Overview

0SP3-LUMBOSACRAL-JOINT-REMOVAL

ICD-10-PCS Code For Lumbosacral Joint: Procedure Code Group Overview

0SP4-LUMBOSACRAL-DISC-REMOVAL

ICD-10-PCS Code For Lumbosacral Disc: Procedure Code Group Overview

0SP5-SACROCOCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Sacrococcygeal Joint: Procedure Code Group Overview

0SP6-COCCYGEAL-JOINT-TAKING-OUT-COCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Coccygeal Joint: Procedure Code Group Overview

0SP7-SACROILIAC-JOINT-RIGHT-REMOVAL

ICD-10-PCS Code For Sacroiliac Joint Right: Procedure Code Group Overview

0SP8-LEFT-SACROILIAC-REMOVAL

ICD-10-PCS Code For Left Sacroiliac Joint: Procedure Code Group Overview

0SP9-HIP-JOINT-RIGHT-REMOVAL

ICD-10-PCS Code For Hip Joint Right: Procedure Code Group Overview

0SPA-HIP-JOINT-ACETABULAR-REMOVAL

ICD-10-PCS Code For Right Hip Joint Acetabular Surface: Procedure Code Group Overview

0SPB-HIP-JOINT-LEFT-REMOVAL

ICD-10-PCS Code For Hip Joint Left: Procedure Code Group Overview

Showing 1–10 of 29

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

27 rows

ICD-10-PCS Code	Description
0SP000Z	Removal of Drainage Device from Lumbar Vertebral Joint, Open Approach
0SP003Z	Removal of Infusion Device from Lumbar Vertebral Joint, Open Approach
0SP004Z	Removal of Internal Fixation Device from Lumbar Vertebral Joint, Open Approach
0SP007Z	Removal of Autologous Tissue Substitute from Lumbar Vertebral Joint, Open Approach
0SP008Z	Removal of Spacer from Lumbar Vertebral Joint, Open Approach
0SP00AZ	Removal of Interbody Fusion Device from Lumbar Vertebral Joint, Open Approach
0SP00JZ	Removal of Synthetic Substitute from Lumbar Vertebral Joint, Open Approach
0SP00KZ	Removal of Nonautologous Tissue Substitute from Lumbar Vertebral Joint, Open Approach
0SP030Z	Removal of Drainage Device from Lumbar Vertebral Joint, Percutaneous Approach
0SP033Z	Removal of Infusion Device from Lumbar Vertebral Joint, Percutaneous Approach

Showing 1–10 of 27

DRG Codes

12 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
516	Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
517	Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a history of lumbar spinal fusion presents with increasing focal back pain, progressive neurological deficits, and radiographic evidence of hardware loosening several months after the index surgery; the inpatient admission is for removal of the loosened posterior internal fixation to control pain and prevent further neurologic compromise. Typical codes: 0SP004Z, 0SP034Z
A middle-aged patient admitted electively for removal of an interbody fusion device placed years earlier because of persistent mechanical back pain refractory to conservative measures; preoperative planning targets extraction of the fusion spacer and adjacent scar tissue in a controlled operative setting. Typical codes: 0SP00AZ, 0SP03AZ
A patient develops postoperative wound drainage and infection after lumbar instrumentation and requires urgent operative debridement with removal of an infected drainage device or externalized infusion catheter from the lumbar vertebral joint during the same inpatient stay to control the infection. Typical codes: 0SP000Z, 0SP030Z

Related Codes

0SP2-LUMBAR-VERTEBRAL-DISC-REMOVAL

ICD-10-PCS Code For Lumbar Vertebral Disc: Procedure Code Group Overview

0SP3-LUMBOSACRAL-JOINT-REMOVAL

ICD-10-PCS Code For Lumbosacral Joint: Procedure Code Group Overview

0SP4-LUMBOSACRAL-DISC-REMOVAL

ICD-10-PCS Code For Lumbosacral Disc: Procedure Code Group Overview

0SP5-SACROCOCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Sacrococcygeal Joint: Procedure Code Group Overview

0SP6-COCCYGEAL-JOINT-TAKING-OUT-COCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Coccygeal Joint: Procedure Code Group Overview

0SP7-SACROILIAC-JOINT-RIGHT-REMOVAL

ICD-10-PCS Code For Sacroiliac Joint Right: Procedure Code Group Overview

0SP8-LEFT-SACROILIAC-REMOVAL

ICD-10-PCS Code For Left Sacroiliac Joint: Procedure Code Group Overview

0SP9-HIP-JOINT-RIGHT-REMOVAL

ICD-10-PCS Code For Hip Joint Right: Procedure Code Group Overview

0SPA-HIP-JOINT-ACETABULAR-REMOVAL

ICD-10-PCS Code For Right Hip Joint Acetabular Surface: Procedure Code Group Overview

0SPB-HIP-JOINT-LEFT-REMOVAL

ICD-10-PCS Code For Hip Joint Left: Procedure Code Group Overview

Showing 1–10 of 29

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Lumbar Vertebral Joint: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Lumbar Vertebral Joint: Procedure Code Group Overview policy alerts

Lumbar Vertebral Joint Removal Procedure Overview

Code Attributes

ICD-10-PCS Code For Lumbar Vertebral Joint: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Lumbar Vertebral Joint: Procedure Code Group Overview policy alerts

Lumbar Vertebral Joint Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover lumbar vertebral joint removal procedures?

What is the operation type and body part specified for code group `0SP0`?

How are approach differences represented within the `0SP0` code set?

Which specific device removal codes are included for internal fixation devices in the `0SP0` group?

What related DRG categories may be assigned when coding procedures from the `0SP0` group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover lumbar vertebral joint removal procedures?

What is the operation type and body part specified for code group `0SP0`?

How are approach differences represented within the `0SP0` code set?

Which specific device removal codes are included for internal fixation devices in the `0SP0` group?

What related DRG categories may be assigned when coding procedures from the `0SP0` group?

References