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ICD-10-PCS 2027 procedure code

0QPSX5ZRemoval of External Fixation Device from Coccyx, External Approach

✓ Valid for 2027

Short description: Removal of Ext Fix from Coccyx, Extern 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 0QPSX5Z

0QPSX5Z is the ICD-10-PCS code for a removal procedure on the coccyx using an external 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 0QP0X5Z (lumbar vertebra), 0QP1X5Z (sacrum), 0QP2X5Z (right pelvic bone), 0QP3X5Z (left pelvic bone), 0QP4X5Z (right acetabulum), 0QP5X5Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QPS05Z (open), 0QPS35Z (percutaneous) and 0QPS45Z (percutaneous endoscopic).

With a different device, use 0QPSX4Z (internal fixation device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
5External Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 0QPSX5Z

Is 0QPSX5Z a valid ICD-10-PCS code for 2027?

Yes. 0QPSX5Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.