ICD-10-PCS 2027 procedure code
0QH638ZInsertion of Limb Lengthening External Fixation Device into Right Upper Femur, Percutaneous Approach
Short description: Insertion of Limb Length Dev into R Up Femur, Perc 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 0QH638Z
0QH638Z is the ICD-10-PCS code for a insertion procedure on the right upper femur using a percutaneous approach with external fixation device, limb lengthening. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.
In plain terms, this corresponds to implantation of other internal limb lengthening device, the ICD-9-CM procedure title it maps to (84.54).
For a different body part, codes include 0QH738Z (left upper femur), 0QH838Z (right femoral shaft), 0QH938Z (left femoral shaft), 0QHB38Z (right lower femur), 0QHC38Z (left lower femur), 0QHG38Z (right tibia) and 3 more.
The same procedure with a different approach is coded 0QH608Z (open) and 0QH648Z (percutaneous endoscopic).
With a different device, use 0QH634Z (internal fixation device), 0QH635Z (external fixation device), 0QH636Z (internal fixation device, intramedullary), 0QH63BZ (external fixation device, monoplanar), 0QH63CZ (external fixation device, ring) and 0QH63DZ (external fixation device, hybrid).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- HInsertion
Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part
Includes: Insertion of radioactive implant, insertion of central venous catheter
- 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
- 8External Fixation Device, Limb Lengthening
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
ICD-9-CM equivalent
Converter →- 84.54Implantation of other internal limb lengthening deviceapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0QH638Z
Is 0QH638Z a valid ICD-10-PCS code for 2027?
- Yes. 0QH638Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0QH638Z?
- The CMS GEMs map 0QH638Z to ICD-9-CM 84.54 (Implantation of other internal limb lengthening device).