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ICD-10-PCS 2027 procedure code

0QSC45ZReposition Left Lower Femur with External Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Left Lower Femur with Ext Fix, Perc Endo 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 0QSC45Z

0QSC45Z is the ICD-10-PCS code for a reposition procedure on the left lower femur using a percutaneous endoscopic approach with external 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 application of external fixator device, femur and closed reduction of fracture without internal fixation, femur, the ICD-9-CM procedure titles it maps to (78.15 and 79.05).

For a different body part, codes include 0QS245Z (right pelvic bone), 0QS345Z (left pelvic bone), 0QS645Z (right upper femur), 0QS745Z (left upper femur), 0QS845Z (right femoral shaft), 0QS945Z (left femoral shaft) and 13 more.

The same procedure with a different approach is coded 0QSC05Z (open) and 0QSC35Z (percutaneous).

With a different device, use 0QSC44Z (internal fixation device), 0QSC46Z (internal fixation device, intramedullary), 0QSC4BZ (external fixation device, monoplanar), 0QSC4CZ (external fixation device, ring), 0QSC4DZ (external fixation device, hybrid) and 0QSC4ZZ (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 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 “Hip and Femur Procedures Except Major Joint”, “Other O.R. Procedures for Injuries” and “Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma”.

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
CLower Femur, Left

Includes: Lateral condyle of femur; Lateral epicondyle of femur; Medial condyle of femur; Medial epicondyle of femur

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.

MDC 24 · Multiple Significant Trauma · Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 78.15Application of external fixator device, femurapproximate, combination
  • 79.05Closed reduction of fracture without internal fixation, femurapproximate, combination

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 0QSC45Z

Is 0QSC45Z a valid ICD-10-PCS code for 2027?

Yes. 0QSC45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QSC45Z an O.R. procedure?

Yes. 0QSC45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QSC45Z group to?

Depending on the principal diagnosis, 0QSC45Z can group to MS-DRG 480, MS-DRG 481, MS-DRG 482, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QSC45Z?

The CMS GEMs map 0QSC45Z to ICD-9-CM 78.15 (Application of external fixator device, femur) and 79.05 (Closed reduction of fracture without internal fixation, femur).