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ICD-10-PCS 2027 procedure code

0QHH36ZInsertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Intramed Fix into L Tibia, Perc 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 0QHH36Z

0QHH36Z is the ICD-10-PCS code for a insertion procedure on the left tibia using a percutaneous approach with internal fixation device, intramedullary. 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 internal fixation of bone without fracture reduction, tibia and fibula, the ICD-9-CM procedure title it maps to (78.57).

For a different body part, codes include 0QH636Z (right upper femur), 0QH736Z (left upper femur), 0QH836Z (right femoral shaft), 0QH936Z (left femoral shaft), 0QHB36Z (right lower femur), 0QHC36Z (left lower femur) and 3 more.

The same procedure with a different approach is coded 0QHH06Z (open) and 0QHH46Z (percutaneous endoscopic).

With a different device, use 0QHH34Z (internal fixation device), 0QHH35Z (external fixation device), 0QHH37Z (internal fixation device, intramedullary limb lengthening), 0QHH38Z (external fixation device, limb lengthening), 0QHH3BZ (external fixation device, monoplanar), 0QHH3CZ (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 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
HTibia, Left

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

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
6Internal Fixation Device, Intramedullary
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 →
  • 78.57Internal fixation of bone without fracture reduction, tibia and fibulaapproximate

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 0QHH36Z

Is 0QHH36Z a valid ICD-10-PCS code for 2027?

Yes. 0QHH36Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QHH36Z an O.R. procedure?

Yes. 0QHH36Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QHH36Z group to?

Depending on the principal diagnosis, 0QHH36Z 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 0QHH36Z?

The CMS GEMs map 0QHH36Z to ICD-9-CM 78.57 (Internal fixation of bone without fracture reduction, tibia and fibula).