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ICD-10-PCS 2027 procedure code

0QPC04ZRemoval of Internal Fixation Device from Left Lower Femur, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from L Low Femur, 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 0QPC04Z

0QPC04Z is the ICD-10-PCS code for a removal procedure on the left lower femur using an open approach with internal 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 0QP004Z (lumbar vertebra), 0QP104Z (sacrum), 0QP204Z (right pelvic bone), 0QP304Z (left pelvic bone), 0QP404Z (right acetabulum), 0QP504Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QPC34Z (percutaneous), 0QPC44Z (percutaneous endoscopic) and 0QPCX4Z (external).

With a different device, use 0QPC05Z (external fixation device), 0QPC07Z (autologous tissue substitute), 0QPC0JZ (synthetic substitute) and 0QPC0KZ (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
CLower Femur, Left

Includes: Lateral condyle of femur; Lateral epicondyle of femur; Medial condyle of femur; Medial epicondyle of femur

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.

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 0QPC04Z

Is 0QPC04Z a valid ICD-10-PCS code for 2027?

Yes. 0QPC04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QPC04Z an O.R. procedure?

Yes. 0QPC04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QPC04Z group to?

Depending on the principal diagnosis, 0QPC04Z 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 0QPC04Z?

The CMS GEMs map 0QPC04Z to ICD-9-CM 78.65 (Removal of implanted devices from bone, femur).