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ICD-10-PCS 2027 procedure code

0QS004ZReposition Lumbar Vertebra with Internal Fixation Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Lumbar Vertebra with Int Fix, 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 0QS004Z

0QS004Z is the ICD-10-PCS code for a reposition procedure on the lumbar vertebra using an open approach with internal fixation device. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to repair of vertebral fracture, the ICD-9-CM procedure title it maps to (03.53).

For a different body part, codes include 0QS104Z (sacrum), 0QS204Z (right pelvic bone), 0QS304Z (left pelvic bone), 0QS404Z (right acetabulum), 0QS504Z (left acetabulum), 0QS604Z (right upper femur) and 18 more.

The same procedure with a different approach is coded 0QS034Z (percutaneous) and 0QS044Z (percutaneous endoscopic).

With a different device, use 0QS003Z (spinal stabilization device, vertebral body tether) and 0QS00ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

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
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

4. Body Part
0Lumbar Vertebra

Includes: Spinous process; Transverse process; Vertebral arch; Vertebral body; Vertebral foramen; Vertebral lamina; Vertebral pedicle

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 · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

ICD-9-CM equivalent

Converter →
  • 03.53Repair of vertebral fractureapproximate

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 0QS004Z

Is 0QS004Z a valid ICD-10-PCS code for 2027?

Yes. 0QS004Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QS004Z an O.R. procedure?

Yes. 0QS004Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QS004Z group to?

Depending on the principal diagnosis, 0QS004Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 0QS004Z?

The CMS GEMs map 0QS004Z to ICD-9-CM 03.53 (Repair of vertebral fracture).