0QH646ZInsertion of Intramedullary Internal Fixation Device into Right Upper Femur, Percutaneous Endoscopic Approach

0QH646Z is the ICD-10-PCS code for a insertion procedure on the right upper femur using a percutaneous endoscopic approach with internal fixation device, intramedullary. 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 internal fixation of bone without fracture reduction, femur, the ICD-9-CM procedure title it maps to (78.55).

For a different body part, codes include 0QH746Z (left upper femur), 0QH846Z (right femoral shaft), 0QH946Z (left femoral shaft), 0QHB46Z (right lower femur), 0QHC46Z (left lower femur), 0QHG46Z (right tibia) and 3 more.

The same procedure with a different approach is coded 0QH606Z (open) and 0QH636Z (percutaneous).

With a different device, use 0QH644Z (internal fixation device), 0QH645Z (external fixation device), 0QH648Z (external fixation device, limb lengthening), 0QH64BZ (external fixation device, monoplanar), 0QH64CZ (external fixation device, ring) and 0QH64DZ (external fixation device, hybrid).

It is an operating-room procedure in the MS-DRG logic for DRG 480 (Hip and Femur Procedures Except Major Joint with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 481 (Hip and Femur Procedures Except Major Joint with CC), DRG 482 (Hip and Femur Procedures Except Major Joint 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 “Hip and Femur Procedures Except Major Joint”, “Other O.R. Procedures for Injuries” and “Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.