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ICD-10-PCS 2027 procedure code

0Q563ZZDestruction of Right Upper Femur, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0Q563ZZ

0Q563ZZ is the ICD-10-PCS code for a destruction procedure on the right upper femur using a percutaneous approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to local excision of lesion or tissue of bone, femur, the ICD-9-CM procedure title it maps to (77.65).

For a different body part, codes include 0Q503ZZ (lumbar vertebra), 0Q513ZZ (sacrum), 0Q523ZZ (right pelvic bone), 0Q533ZZ (left pelvic bone), 0Q543ZZ (right acetabulum), 0Q553ZZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0Q560ZZ (open) and 0Q564ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 498 (Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC), DRG 499 (Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC), 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) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices of Hip and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
QLower Bones
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
6Upper Femur, Right
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Local Excision and Removal of Internal Fixation Devices of Hip and Femur

ICD-9-CM equivalent

Converter →
  • 77.65Local excision of lesion or tissue of bone, femurapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0Q563ZZ

Is 0Q563ZZ a valid ICD-10-PCS code for 2027?

Yes. 0Q563ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0Q563ZZ an O.R. procedure?

Yes. 0Q563ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0Q563ZZ group to?

Depending on the principal diagnosis, 0Q563ZZ can group to MS-DRG 498, MS-DRG 499, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.

What is the ICD-9 procedure code for 0Q563ZZ?

The CMS GEMs map 0Q563ZZ to ICD-9-CM 77.65 (Local excision of lesion or tissue of bone, femur).