ICD-10-PCS 2027 procedure code
0QSH45ZReposition Left Tibia with External Fixation Device, Percutaneous Endoscopic Approach
Short description: Reposition Left Tibia 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 0QSH45Z
0QSH45Z is the ICD-10-PCS code for a reposition procedure on the left tibia 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, tibia and fibula and closed reduction of fracture without internal fixation, tibia and fibula, the ICD-9-CM procedure titles it maps to (78.17 and 79.06).
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 0QSH05Z (open) and 0QSH35Z (percutaneous).
With a different device, use 0QSH44Z (internal fixation device), 0QSH46Z (internal fixation device, intramedullary), 0QSH4BZ (external fixation device, monoplanar), 0QSH4CZ (external fixation device, ring), 0QSH4DZ (external fixation device, hybrid) and 0QSH4ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur 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 “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “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
- HTibia, Left
Includes: Lateral condyle of tibia; Medial condyle of tibia; Medial malleolus
- 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
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 · Lower Extremity and Humerus Procedures Except Hip, Foot and Femur
- 492Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void FillerRW 3.6914
- 493Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CCRW 2.5528
- 494Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCCRW 2.0257
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 78.17Application of external fixator device, tibia and fibulaapproximate, combination
- 79.06Closed reduction of fracture without internal fixation, tibia and fibulaapproximate, combination
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 0QSH45Z
Is 0QSH45Z a valid ICD-10-PCS code for 2027?
- Yes. 0QSH45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0QSH45Z an O.R. procedure?
- Yes. 0QSH45Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0QSH45Z group to?
- Depending on the principal diagnosis, 0QSH45Z can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0QSH45Z?
- The CMS GEMs map 0QSH45Z to ICD-9-CM 78.17 (Application of external fixator device, tibia and fibula) and 79.06 (Closed reduction of fracture without internal fixation, tibia and fibula).