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ICD-10-PCS 2027 procedure code

0QPB35ZRemoval of External Fixation Device from Right Lower Femur, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Ext Fix from R Low Femur, 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 0QPB35Z

0QPB35Z is the ICD-10-PCS code for a removal procedure on the right lower femur using a percutaneous approach with external fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of implanted devices from bone, femur, the ICD-9-CM procedure title it maps to (78.65).

For a different body part, codes include 0QP035Z (lumbar vertebra), 0QP135Z (sacrum), 0QP235Z (right pelvic bone), 0QP335Z (left pelvic bone), 0QP435Z (right acetabulum), 0QP535Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QPB05Z (open), 0QPB45Z (percutaneous endoscopic) and 0QPBX5Z (external).

With a different device, use 0QPB34Z (internal fixation device), 0QPB37Z (autologous tissue substitute), 0QPB3JZ (synthetic substitute) and 0QPB3KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 498 (Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC), DRG 499 (Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC), DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices of Hip and Femur”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and “Other O.R. Procedures for Injuries”.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
BLower Femur, Right
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
5External 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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Local Excision and Removal of Internal Fixation Devices of Hip and Femur

ICD-9-CM equivalent

Converter →
  • 78.65Removal of implanted devices from bone, femurapproximate

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 0QPB35Z

Is 0QPB35Z a valid ICD-10-PCS code for 2027?

Yes. 0QPB35Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QPB35Z an O.R. procedure?

Yes. 0QPB35Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QPB35Z group to?

Depending on the principal diagnosis, 0QPB35Z can group to MS-DRG 498, MS-DRG 499, MS-DRG 628, MS-DRG 629, MS-DRG 630 and MS-DRG 907.

What is the ICD-9 procedure code for 0QPB35Z?

The CMS GEMs map 0QPB35Z to ICD-9-CM 78.65 (Removal of implanted devices from bone, femur).