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ICD-10-PCS 2027 procedure code

0QHS04ZInsertion of Internal Fixation Device into Coccyx, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Fix into Coccyx, 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 0QHS04Z

0QHS04Z is the ICD-10-PCS code for a insertion procedure on the coccyx using an open approach with internal 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 internal fixation of bone without fracture reduction, other bones, the ICD-9-CM procedure title it maps to (78.59).

For a different body part, codes include 0QH004Z (lumbar vertebra), 0QH104Z (sacrum), 0QH204Z (right pelvic bone), 0QH304Z (left pelvic bone), 0QH404Z (right acetabulum), 0QH504Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QHS34Z (percutaneous) and 0QHS44Z (percutaneous endoscopic).

With a different device, use 0QHS05Z (external fixation device).

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures 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 “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “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
SCoccyx
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
4Internal Fixation Device
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 →
  • 78.59Internal fixation of bone without fracture reduction, other bonesapproximate

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 0QHS04Z

Is 0QHS04Z a valid ICD-10-PCS code for 2027?

Yes. 0QHS04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QHS04Z an O.R. procedure?

Yes. 0QHS04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QHS04Z group to?

Depending on the principal diagnosis, 0QHS04Z can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QHS04Z?

The CMS GEMs map 0QHS04Z to ICD-9-CM 78.59 (Internal fixation of bone without fracture reduction, other bones).