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ICD-10-PCS 2027 procedure code

0QPS45ZRemoval of External Fixation Device from Coccyx, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Ext Fix from Coccyx, Perc Endo Approach

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0QPS45Z

0QPS45Z is the ICD-10-PCS code for a removal procedure on the coccyx using a percutaneous endoscopic approach with external fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.

For a different body part, codes include 0QP045Z (lumbar vertebra), 0QP145Z (sacrum), 0QP245Z (right pelvic bone), 0QP345Z (left pelvic bone), 0QP445Z (right acetabulum), 0QP545Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QPS05Z (open), 0QPS35Z (percutaneous) and 0QPSX5Z (external).

With a different device, use 0QPS44Z (internal fixation device), 0QPS47Z (autologous tissue substitute), 0QPS4JZ (synthetic substitute) and 0QPS4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip 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 “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur” and “Other O.R. Procedures for Injuries”.

It was added in FY2021, effective October 1, 2020.

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
SCoccyx
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
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.

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
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about 0QPS45Z

Is 0QPS45Z a valid ICD-10-PCS code for 2027?

Yes. 0QPS45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QPS45Z an O.R. procedure?

Yes. 0QPS45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QPS45Z group to?

Depending on the principal diagnosis, 0QPS45Z can group to MS-DRG 495, MS-DRG 496, MS-DRG 497, MS-DRG 907, MS-DRG 908 and MS-DRG 909.