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ICD-10-PCS 2027 procedure code

0QS704ZReposition Left Upper Femur with Internal Fixation Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Left 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 0QS704Z

0QS704Z is the ICD-10-PCS code for a reposition procedure on the left 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 0QS734Z (percutaneous) and 0QS744Z (percutaneous endoscopic).

With a different device, use 0QS705Z (external fixation device), 0QS706Z (internal fixation device, intramedullary), 0QS70BZ (external fixation device, monoplanar), 0QS70CZ (external fixation device, ring), 0QS70DZ (external fixation device, hybrid) and 0QS70ZZ (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
7Upper Femur, Left

Includes: Femoral head; Greater trochanter; Lesser trochanter; Neck 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 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

  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 0QS704Z

Is 0QS704Z a valid ICD-10-PCS code for 2027?

Yes. 0QS704Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QS704Z an O.R. procedure?

Yes. 0QS704Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QS704Z group to?

Depending on the principal diagnosis, 0QS704Z 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 0QS704Z?

The CMS GEMs map 0QS704Z to ICD-9-CM 79.35 (Open reduction of fracture with internal fixation, femur).