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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SP5 includes procedures performed to remove devices or implanted hardware in the sacrococcygeal joint. These ICD-10-PCS codes are used for inpatient documentation when a device or implant is taken out from the sacrococcygeal joint, such as removal of fixation hardware or implanted pain-management devices. Accurate coding within the ICD-10-PCS 0SP5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Sacrococcygeal Joint Removal Procedure Overview

This procedure group includes removal operations targeting the sacrococcygeal joint within the lower joints body system. Procedures in this group involve taking out or off a device from the sacrococcygeal joint or removing implanted hardware from that joint. Accurate ICD-10-PCS coding ensures inpatient records reflect the exact operation performed and supports appropriate reimbursement and case mix assignment.

Code Attributes

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

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

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Sacrococcygeal 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
5	Body Part	Sacrococcygeal Joint

When to Use

Use a code from this group when an implanted device, fixation hardware, or other device is removed from the sacrococcygeal joint during an inpatient stay. Select the specific ICD-10-PCS code that reflects the removal approach and the type of device removed.

ICD-10-PCS Codes

24 rows

ICD-10-PCS Code	Description
0SP500Z	Removal of Drainage Device from Sacrococcygeal Joint, Open Approach
0SP503Z	Removal of Infusion Device from Sacrococcygeal Joint, Open Approach
0SP504Z	Removal of Internal Fixation Device from Sacrococcygeal Joint, Open Approach
0SP507Z	Removal of Autologous Tissue Substitute from Sacrococcygeal Joint, Open Approach
0SP508Z	Removal of Spacer from Sacrococcygeal Joint, Open Approach
0SP50JZ	Removal of Synthetic Substitute from Sacrococcygeal Joint, Open Approach
0SP50KZ	Removal of Nonautologous Tissue Substitute from Sacrococcygeal Joint, Open Approach
0SP530Z	Removal of Drainage Device from Sacrococcygeal Joint, Percutaneous Approach
0SP533Z	Removal of Infusion Device from Sacrococcygeal Joint, Percutaneous Approach
0SP534Z	Removal of Internal Fixation Device from Sacrococcygeal Joint, Percutaneous Approach

Showing 1–10 of 24

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 adult patient is admitted with acute deep wound infection and persistent purulent drainage at the site of a previously placed sacrococcygeal drainage catheter following recent debridement. Because the drainage device is suspected to be a nidus for ongoing infection, surgical removal of the drainage device from the sacrococcygeal joint is performed via an open approach during the same admission. The procedure removes the device to control infection and allow definitive wound management. Typical codes: 0SP500Z
A middle-aged patient presents electively for planned removal of internal fixation hardware placed years earlier for sacrococcygeal stabilization that now causes chronic local pain and limited sitting tolerance. Preoperative evaluation is unremarkable and the patient is scheduled for inpatient removal of the internal fixation device from the sacrococcygeal joint using a percutaneous approach. The operation is performed to alleviate symptoms and prevent future hardware-related complications. Typical codes: 0SP534Z
A patient develops erosion of an implanted infusion pain-management catheter at the sacrococcygeal region with cellulitis around the insertion site after an earlier implantation. Due to device contamination and local tissue compromise, the implanted infusion device is removed via a percutaneous endoscopic approach during the inpatient stay, with plans for antibiotic therapy and later reassessment for alternative pain management. The procedure addresses the complication and removes the source of infection/erosion. Typical codes: 0SP543Z

Related Codes

0SP0-LUMBAR-VERTEBRAL-JOINT-REMOVAL

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

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

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

24 rows

ICD-10-PCS Code	Description
0SP500Z	Removal of Drainage Device from Sacrococcygeal Joint, Open Approach
0SP503Z	Removal of Infusion Device from Sacrococcygeal Joint, Open Approach
0SP504Z	Removal of Internal Fixation Device from Sacrococcygeal Joint, Open Approach
0SP507Z	Removal of Autologous Tissue Substitute from Sacrococcygeal Joint, Open Approach
0SP508Z	Removal of Spacer from Sacrococcygeal Joint, Open Approach
0SP50JZ	Removal of Synthetic Substitute from Sacrococcygeal Joint, Open Approach
0SP50KZ	Removal of Nonautologous Tissue Substitute from Sacrococcygeal Joint, Open Approach
0SP530Z	Removal of Drainage Device from Sacrococcygeal Joint, Percutaneous Approach
0SP533Z	Removal of Infusion Device from Sacrococcygeal Joint, Percutaneous Approach
0SP534Z	Removal of Internal Fixation Device from Sacrococcygeal Joint, Percutaneous Approach

Showing 1–10 of 24

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 adult patient is admitted with acute deep wound infection and persistent purulent drainage at the site of a previously placed sacrococcygeal drainage catheter following recent debridement. Because the drainage device is suspected to be a nidus for ongoing infection, surgical removal of the drainage device from the sacrococcygeal joint is performed via an open approach during the same admission. The procedure removes the device to control infection and allow definitive wound management. Typical codes: 0SP500Z
A middle-aged patient presents electively for planned removal of internal fixation hardware placed years earlier for sacrococcygeal stabilization that now causes chronic local pain and limited sitting tolerance. Preoperative evaluation is unremarkable and the patient is scheduled for inpatient removal of the internal fixation device from the sacrococcygeal joint using a percutaneous approach. The operation is performed to alleviate symptoms and prevent future hardware-related complications. Typical codes: 0SP534Z
A patient develops erosion of an implanted infusion pain-management catheter at the sacrococcygeal region with cellulitis around the insertion site after an earlier implantation. Due to device contamination and local tissue compromise, the implanted infusion device is removed via a percutaneous endoscopic approach during the inpatient stay, with plans for antibiotic therapy and later reassessment for alternative pain management. The procedure addresses the complication and removes the source of infection/erosion. Typical codes: 0SP543Z

Related Codes

0SP0-LUMBAR-VERTEBRAL-JOINT-REMOVAL

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

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

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 Sacrococcygeal Joint: Procedure Code Group Overview

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

Sacrococcygeal Joint Removal Procedure Overview

Code Attributes

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

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

Sacrococcygeal Joint Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0SP5 represent?

What body part is specified by the codes in the 0SP5 group?

What types of devices or materials are captured by the codes in `0SP5`?

How do approach differences appear within the `0SP5` code set?

Which DRG groups are related to procedures in the 0SP5 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0SP5 represent?

What body part is specified by the codes in the 0SP5 group?

What types of devices or materials are captured by the codes in `0SP5`?

How do approach differences appear within the `0SP5` code set?

Which DRG groups are related to procedures in the 0SP5 code group?

References