Skip to content
Dx

ICD-10-PCS 2027 procedure code

0QNG4ZZRelease Right Tibia, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0QNG4ZZ

0QNG4ZZ is the ICD-10-PCS code for a release procedure on the right tibia using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to other repair or plastic operations on bone, tibia and fibula, the ICD-9-CM procedure title it maps to (78.47).

For a different body part, codes include 0QN04ZZ (lumbar vertebra), 0QN14ZZ (sacrum), 0QN24ZZ (right pelvic bone), 0QN34ZZ (left pelvic bone), 0QN44ZZ (right acetabulum), 0QN54ZZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QNG0ZZ (open) and 0QNG3ZZ (percutaneous).

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
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

4. Body Part
GTibia, 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
ZNo 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 →
  • 78.47Other repair or plastic operations on bone, 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 0QNG4ZZ

Is 0QNG4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0QNG4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QNG4ZZ an O.R. procedure?

Yes. 0QNG4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QNG4ZZ group to?

Depending on the principal diagnosis, 0QNG4ZZ 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 0QNG4ZZ?

The CMS GEMs map 0QNG4ZZ to ICD-9-CM 78.47 (Other repair or plastic operations on bone, tibia and fibula).