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ICD-10-PCS 2027 procedure code

0QBR4ZZExcision of Left Toe Phalanx, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Excision of Left Toe Phalanx, 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 0QBR4ZZ

0QBR4ZZ is the ICD-10-PCS code for a excision procedure on the left toe phalanx using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to local excision of lesion or tissue of bone, unspecified site, local excision of lesion or tissue of bone, other bones and other partial ostectomy, other bones, the ICD-9-CM procedure titles it maps to (77.60, 77.69 and 77.89).

For a different body part, codes include 0QB04ZZ (lumbar vertebra), 0QB14ZZ (sacrum), 0QB24ZZ (right pelvic bone), 0QB34ZZ (left pelvic bone), 0QB44ZZ (right acetabulum), 0QB54ZZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QBR0ZZ (open) and 0QBR3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 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
RToe Phalanx, 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

Different qualifier

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 →
  • 77.60Local excision of lesion or tissue of bone, unspecified siteapproximate
  • 77.69Local excision of lesion or tissue of bone, other bonesapproximate
  • 77.89Other partial ostectomy, other bonesapproximate

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 0QBR4ZZ

Is 0QBR4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0QBR4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QBR4ZZ an O.R. procedure?

Yes. 0QBR4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QBR4ZZ group to?

Depending on the principal diagnosis, 0QBR4ZZ can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 0QBR4ZZ?

The CMS GEMs map 0QBR4ZZ to ICD-9-CM 77.60 (Local excision of lesion or tissue of bone, unspecified site), 77.69 (Local excision of lesion or tissue of bone, other bones) and 77.89 (Other partial ostectomy, other bones).