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ICD-10-PCS 2027 procedure code

0QHG0CZInsertion of Ring External Fixation Device into Right Tibia, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Ring Ext Fix into R Tibia, Open 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 0QHG0CZ

0QHG0CZ is the ICD-10-PCS code for a insertion procedure on the right tibia using an open approach with external fixation device, ring. 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, tibia and fibula and application of external fixator device, ring system, the ICD-9-CM procedure titles it maps to (78.17 and 84.72).

For a different body part, codes include 0QH60CZ (right upper femur), 0QH70CZ (left upper femur), 0QH80CZ (right femoral shaft), 0QH90CZ (left femoral shaft), 0QHB0CZ (right lower femur), 0QHC0CZ (left lower femur) and 3 more.

The same procedure with a different approach is coded 0QHG3CZ (percutaneous) and 0QHG4CZ (percutaneous endoscopic).

With a different device, use 0QHG04Z (internal fixation device), 0QHG05Z (external fixation device), 0QHG06Z (internal fixation device, intramedullary), 0QHG07Z (internal fixation device, intramedullary limb lengthening), 0QHG08Z (external fixation device, limb lengthening), 0QHG0BZ (external fixation device, monoplanar) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur 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 “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
GTibia, Right
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
CExternal Fixation Device, Ring
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 78.17Application of external fixator device, tibia and fibulaapproximate, combination
  • 84.72Application of external fixator device, ring systemapproximate, combination

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 0QHG0CZ

Is 0QHG0CZ a valid ICD-10-PCS code for 2027?

Yes. 0QHG0CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QHG0CZ an O.R. procedure?

Yes. 0QHG0CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QHG0CZ group to?

Depending on the principal diagnosis, 0QHG0CZ can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QHG0CZ?

The CMS GEMs map 0QHG0CZ to ICD-9-CM 78.17 (Application of external fixator device, tibia and fibula) and 84.72 (Application of external fixator device, ring system).