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ICD-10-PCS 2027 procedure code

0QSD04ZReposition Right Patella with Internal Fixation Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Right Patella 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 0QSD04Z

0QSD04Z is the ICD-10-PCS code for a reposition procedure on the right patella 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, other specified bone, the ICD-9-CM procedure title it maps to (79.39).

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 0QSD34Z (percutaneous) and 0QSD44Z (percutaneous endoscopic).

With a different device, use 0QSD05Z (external fixation device) and 0QSD0ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures 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 “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. 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
DPatella, 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

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 79.39Open reduction of fracture with internal fixation, other specified boneapproximate

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 0QSD04Z

Is 0QSD04Z a valid ICD-10-PCS code for 2027?

Yes. 0QSD04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QSD04Z an O.R. procedure?

Yes. 0QSD04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QSD04Z group to?

Depending on the principal diagnosis, 0QSD04Z can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QSD04Z?

The CMS GEMs map 0QSD04Z to ICD-9-CM 79.39 (Open reduction of fracture with internal fixation, other specified bone).