ICD-10-PCS 2027 procedure code
0QS604ZReposition Right Upper Femur with Internal Fixation Device, Open Approach
Short description: Reposition Right Upper Femur 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 0QS604Z
0QS604Z is the ICD-10-PCS code for a reposition procedure on the right upper femur 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 open reduction of fracture with internal fixation, femur, the ICD-9-CM procedure title it maps to (79.35).
For a different body part, codes include 0QS004Z (lumbar vertebra), 0QS104Z (sacrum), 0QS204Z (right pelvic bone), 0QS304Z (left pelvic bone), 0QS404Z (right acetabulum), 0QS504Z (left acetabulum) and 18 more.
The same procedure with a different approach is coded 0QS634Z (percutaneous) and 0QS644Z (percutaneous endoscopic).
With a different device, use 0QS605Z (external fixation device), 0QS606Z (internal fixation device, intramedullary), 0QS60BZ (external fixation device, monoplanar), 0QS60CZ (external fixation device, ring), 0QS60DZ (external fixation device, hybrid) and 0QS60ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 480 (Hip and Femur Procedures Except Major Joint with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 481 (Hip and Femur Procedures Except Major Joint with CC), DRG 482 (Hip and Femur Procedures Except Major Joint 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) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Hip and Femur Procedures Except Major Joint”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 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
- 6Upper Femur, Right
- 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
Different body part
Different approach
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 · Hip and Femur Procedures Except Major Joint
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 79.35Open reduction of fracture with internal fixation, femurapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0QS604Z
Is 0QS604Z a valid ICD-10-PCS code for 2027?
- Yes. 0QS604Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0QS604Z an O.R. procedure?
- Yes. 0QS604Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0QS604Z group to?
- Depending on the principal diagnosis, 0QS604Z can group to MS-DRG 480, MS-DRG 481, MS-DRG 482, MS-DRG 628, MS-DRG 629 and MS-DRG 630.
What is the ICD-9 procedure code for 0QS604Z?
- The CMS GEMs map 0QS604Z to ICD-9-CM 79.35 (Open reduction of fracture with internal fixation, femur).