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ICD-10-PCS 2027 procedure code

0QSC46ZReposition Left Lower Femur with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition L Low Femur with Intramed 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 0QSC46Z

0QSC46Z is the ICD-10-PCS code for a reposition procedure on the left lower femur using a percutaneous endoscopic approach with internal fixation device, intramedullary. 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 closed reduction of fracture with internal fixation, femur, the ICD-9-CM procedure title it maps to (79.15).

For a different body part, codes include 0QS646Z (right upper femur), 0QS746Z (left upper femur), 0QS846Z (right femoral shaft), 0QS946Z (left femoral shaft), 0QSB46Z (right lower femur), 0QSG46Z (right tibia) and 3 more.

The same procedure with a different approach is coded 0QSC06Z (open) and 0QSC36Z (percutaneous).

With a different device, use 0QSC44Z (internal fixation device), 0QSC45Z (external fixation device), 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
6Internal Fixation Device, Intramedullary
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 →
  • 79.15Closed 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 0QSC46Z

Is 0QSC46Z a valid ICD-10-PCS code for 2027?

Yes. 0QSC46Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QSC46Z an O.R. procedure?

Yes. 0QSC46Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QSC46Z group to?

Depending on the principal diagnosis, 0QSC46Z 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 0QSC46Z?

The CMS GEMs map 0QSC46Z to ICD-9-CM 79.15 (Closed reduction of fracture with internal fixation, femur).