ICD-10-PCS 2027 procedure code
0QH847ZInsertion of Intramedullary Limb Lengthening Internal Fixation Device into Right Femoral Shaft, Percutaneous Endoscopic Approach
Short description: Insert Int Limb Length in R Femur Shaft, Perc Endo
Code last changed in FY2020 (effective October 1, 2019). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0QH847Z
0QH847Z is the ICD-10-PCS code for a insertion procedure on the right femoral shaft using a percutaneous endoscopic approach with internal fixation device, intramedullary 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.
For a different body part, codes include 0QH947Z (left femoral shaft), 0QHG47Z (right tibia) and 0QHH47Z (left tibia).
The same procedure with a different approach is coded 0QH807Z (open) and 0QH837Z (percutaneous).
With a different device, use 0QH844Z (internal fixation device), 0QH845Z (external fixation device), 0QH846Z (internal fixation device, intramedullary), 0QH848Z (external fixation device, limb lengthening), 0QH84BZ (external fixation device, monoplanar), 0QH84CZ (external fixation device, ring) and 1 more.
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 was added in FY2020, effective October 1, 2019.
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
- 8Femoral Shaft, Right
- 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
- 7Internal Fixation Device, Intramedullary Limb Lengthening
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
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 · Hip and Femur Procedures Except Major Joint
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2020 (effective 10/1/2019): Added
- No changes since FY2020.
Common questions about 0QH847Z
Is 0QH847Z a valid ICD-10-PCS code for 2027?
- Yes. 0QH847Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0QH847Z an O.R. procedure?
- Yes. 0QH847Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0QH847Z group to?
- Depending on the principal diagnosis, 0QH847Z can group to MS-DRG 480, MS-DRG 481, MS-DRG 482, MS-DRG 907, MS-DRG 908 and MS-DRG 909.