ICD-10-PCS 2027 procedure code
0QHD45ZInsertion of External Fixation Device into Right Patella, Percutaneous Endoscopic Approach
Short description: Insertion of Ext Fix into R Patella, 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 0QHD45Z
0QHD45Z is the ICD-10-PCS code for a insertion procedure on the right patella using a percutaneous endoscopic approach with external fixation device. 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 application of external fixator device, patella, the ICD-9-CM procedure title it maps to (78.16).
For a different body part, codes include 0QH045Z (lumbar vertebra), 0QH145Z (sacrum), 0QH245Z (right pelvic bone), 0QH345Z (left pelvic bone), 0QH445Z (right acetabulum), 0QH545Z (left acetabulum) and 18 more.
The same procedure with a different approach is coded 0QHD05Z (open) and 0QHD35Z (percutaneous).
With a different device, use 0QHD44Z (internal fixation device).
It is an operating-room procedure in the MS-DRG logic for DRG 400 (Knee Procedures with Principal Diagnosis of Infection), DRG 488 (Knee Procedures without Principal Diagnosis of Infection with CC/MCC), DRG 489 (Knee Procedures without Principal Diagnosis of Infection 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 “Knee Procedures with Principal Diagnosis of Infection”, “Knee Procedures without Principal Diagnosis of Infection”, “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
- 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
- DPatella, 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
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
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 · Knee Procedures with Principal Diagnosis of Infection
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Knee Procedures without Principal Diagnosis of Infection
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 78.16Application of external fixator device, patellaapproximate
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 0QHD45Z
Is 0QHD45Z a valid ICD-10-PCS code for 2027?
- Yes. 0QHD45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0QHD45Z an O.R. procedure?
- Yes. 0QHD45Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0QHD45Z group to?
- Depending on the principal diagnosis, 0QHD45Z can group to MS-DRG 400, MS-DRG 488, MS-DRG 489, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0QHD45Z?
- The CMS GEMs map 0QHD45Z to ICD-9-CM 78.16 (Application of external fixator device, patella).