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ICD-10-PCS 2027 procedure code

0Q9C40ZDrainage of Left Lower Femur with Drainage Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Drainage of L Low Femur with Drain Dev, 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 0Q9C40Z

0Q9C40Z is the ICD-10-PCS code for a drainage procedure on the left lower femur using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to other incision of bone without division, femur, the ICD-9-CM procedure title it maps to (77.15).

For a different body part, codes include 0Q9040Z (lumbar vertebra), 0Q9140Z (sacrum), 0Q9240Z (right pelvic bone), 0Q9340Z (left pelvic bone), 0Q9440Z (right acetabulum), 0Q9540Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0Q9C00Z (open) and 0Q9C30Z (percutaneous).

With a different device, use 0Q9C4ZZ (no device).

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) and DRG 499 (Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC), under the surgical category “Local Excision and Removal of Internal Fixation Devices of Hip and Femur”.

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
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

4. Body Part
CLower Femur, Left

Includes: Lateral condyle of femur; Lateral epicondyle of femur; Medial condyle of femur; Medial epicondyle of femur

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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

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 →
  • 77.15Other incision of bone without division, 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 0Q9C40Z

Is 0Q9C40Z a valid ICD-10-PCS code for 2027?

Yes. 0Q9C40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0Q9C40Z an O.R. procedure?

Yes. 0Q9C40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0Q9C40Z group to?

Depending on the principal diagnosis, 0Q9C40Z can group to MS-DRG 498 and MS-DRG 499.

What is the ICD-9 procedure code for 0Q9C40Z?

The CMS GEMs map 0Q9C40Z to ICD-9-CM 77.15 (Other incision of bone without division, femur).