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ICD-10-PCS 2027 procedure code

0QB90ZXExcision of Left Femoral Shaft, Open Approach, Diagnostic

✓ 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 0QB90ZX

0QB90ZX is the ICD-10-PCS code for a excision procedure on the left femoral shaft using an open approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to biopsy of bone, femur, the ICD-9-CM procedure title it maps to (77.45).

For a different body part, codes include 0QB00ZX (lumbar vertebra), 0QB10ZX (sacrum), 0QB20ZX (right pelvic bone), 0QB30ZX (left pelvic bone), 0QB40ZX (right acetabulum), 0QB50ZX (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QB93ZX (percutaneous) and 0QB94ZX (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 477 (Biopsies of Musculoskeletal System and Connective Tissue with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 478 (Biopsies of Musculoskeletal System and Connective Tissue with CC), DRG 479 (Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC), DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Biopsies of Musculoskeletal System and Connective Tissue”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 3 more.

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
BExcision

Cutting out or off, without replacement, a portion of a body part

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

Includes: Partial nephrectomy, liver biopsy

4. Body Part
9Femoral Shaft, Left

Includes: Body of femur

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo Device
7. Qualifier
XDiagnostic

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

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

MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 77.45Biopsy 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 0QB90ZX

Is 0QB90ZX a valid ICD-10-PCS code for 2027?

Yes. 0QB90ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QB90ZX an O.R. procedure?

Yes. 0QB90ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QB90ZX group to?

Depending on the principal diagnosis, 0QB90ZX can group to MS-DRG 477, MS-DRG 478, MS-DRG 479, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 0QB90ZX?

The CMS GEMs map 0QB90ZX to ICD-9-CM 77.45 (Biopsy of bone, femur).