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ICD-10-PCS 2027 procedure code

0QHH07ZInsertion of Intramedullary Limb Lengthening Internal Fixation Device into Left Tibia, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Limb Length into L Tibia, Open Approach

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 0QHH07Z

0QHH07Z is the ICD-10-PCS code for a insertion procedure on the left tibia using an open 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 0QH807Z (right femoral shaft), 0QH907Z (left femoral shaft) and 0QHG07Z (right tibia).

The same procedure with a different approach is coded 0QHH37Z (percutaneous) and 0QHH47Z (percutaneous endoscopic).

With a different device, use 0QHH04Z (internal fixation device), 0QHH05Z (external fixation device), 0QHH06Z (internal fixation device, intramedullary), 0QHH08Z (external fixation device, limb lengthening), 0QHH0BZ (external fixation device, monoplanar), 0QHH0CZ (external fixation device, ring) 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 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
HTibia, Left

Includes: Lateral condyle of tibia; Medial condyle of tibia; Medial malleolus

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
7Internal Fixation Device, Intramedullary Limb Lengthening
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.

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
  • FY2020 (effective 10/1/2019): Added
  • No changes since FY2020.

Common questions about 0QHH07Z

Is 0QHH07Z a valid ICD-10-PCS code for 2027?

Yes. 0QHH07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QHH07Z an O.R. procedure?

Yes. 0QHH07Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QHH07Z group to?

Depending on the principal diagnosis, 0QHH07Z can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.