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ICD-10-PCS 2027 procedure code

0QHC48ZInsertion of Limb Lengthening External Fixation Device into Left Lower Femur, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Insert Limb Length Dev in L Low Femur, Perc Endo

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 0QHC48Z

0QHC48Z is the ICD-10-PCS code for a insertion procedure on the left lower femur using a percutaneous endoscopic 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 internal limb lengthening device with kinetic distraction and implantation of other internal limb lengthening device, the ICD-9-CM procedure titles it maps to (84.53 and 84.54).

For a different body part, codes include 0QH648Z (right upper femur), 0QH748Z (left upper femur), 0QH848Z (right femoral shaft), 0QH948Z (left femoral shaft), 0QHB48Z (right lower femur), 0QHG48Z (right tibia) and 3 more.

The same procedure with a different approach is coded 0QHC08Z (open) and 0QHC38Z (percutaneous).

With a different device, use 0QHC44Z (internal fixation device), 0QHC45Z (external fixation device), 0QHC46Z (internal fixation device, intramedullary), 0QHC4BZ (external fixation device, monoplanar), 0QHC4CZ (external fixation device, ring) and 0QHC4DZ (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
CLower Femur, Left

Includes: Lateral condyle of femur; Lateral epicondyle of femur; Medial condyle of femur; Medial epicondyle of femur

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
8External Fixation Device, Limb Lengthening
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 84.53Implantation of internal limb lengthening device with kinetic distractionapproximate
  • 84.54Implantation of other internal limb lengthening deviceapproximate

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 0QHC48Z

Is 0QHC48Z a valid ICD-10-PCS code for 2027?

Yes. 0QHC48Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0QHC48Z?

The CMS GEMs map 0QHC48Z to ICD-9-CM 84.53 (Implantation of internal limb lengthening device with kinetic distraction) and 84.54 (Implantation of other internal limb lengthening device).