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ICD-10-PCS 2027 procedure code

0Q5F4ZZDestruction of Left Patella, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Left Patella, Perc Endo Approach

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 0Q5F4ZZ

0Q5F4ZZ is the ICD-10-PCS code for a destruction procedure on the left patella using a percutaneous endoscopic 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, patella, the ICD-9-CM procedure title it maps to (77.66).

For a different body part, codes include 0Q504ZZ (lumbar vertebra), 0Q514ZZ (sacrum), 0Q524ZZ (right pelvic bone), 0Q534ZZ (left pelvic bone), 0Q544ZZ (right acetabulum), 0Q554ZZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0Q5F0ZZ (open) and 0Q5F3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except 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) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices Except 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
FPatella, Left
5. Approach
4Percutaneous Endoscopic

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

ICD-9-CM equivalent

Converter →
  • 77.66Local excision of lesion or tissue of bone, patellaapproximate

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 0Q5F4ZZ

Is 0Q5F4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0Q5F4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0Q5F4ZZ an O.R. procedure?

Yes. 0Q5F4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0Q5F4ZZ group to?

Depending on the principal diagnosis, 0Q5F4ZZ can group to MS-DRG 495, MS-DRG 496, MS-DRG 497, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0Q5F4ZZ?

The CMS GEMs map 0Q5F4ZZ to ICD-9-CM 77.66 (Local excision of lesion or tissue of bone, patella).