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ICD-10-PCS 2027 procedure code

0QSH4DZReposition Left Tibia with Hybrid External Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition L Tibia with Hybrid 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 0QSH4DZ

0QSH4DZ is the ICD-10-PCS code for a reposition procedure on the left tibia using a percutaneous endoscopic approach with external fixation device, hybrid. 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, closed reduction of fracture without internal fixation, tibia and fibula and application of hybrid external fixator device, the ICD-9-CM procedure titles it maps to (78.17, 79.06 and 84.73).

For a different body part, codes include 0QS64DZ (right upper femur), 0QS74DZ (left upper femur), 0QS84DZ (right femoral shaft), 0QS94DZ (left femoral shaft), 0QSB4DZ (right lower femur), 0QSC4DZ (left lower femur) and 3 more.

The same procedure with a different approach is coded 0QSH0DZ (open) and 0QSH3DZ (percutaneous).

With a different device, use 0QSH44Z (internal fixation device), 0QSH45Z (external fixation device), 0QSH46Z (internal fixation device, intramedullary), 0QSH4BZ (external fixation device, monoplanar), 0QSH4CZ (external fixation device, ring) 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
DExternal Fixation Device, Hybrid
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 →
  • 78.17Application of external fixator device, tibia and fibulaapproximate, combination
  • 79.06Closed reduction of fracture without internal fixation, tibia and fibulaapproximate, combination
  • 84.73Application of hybrid external fixator deviceapproximate, 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 0QSH4DZ

Is 0QSH4DZ a valid ICD-10-PCS code for 2027?

Yes. 0QSH4DZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QSH4DZ an O.R. procedure?

Yes. 0QSH4DZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QSH4DZ group to?

Depending on the principal diagnosis, 0QSH4DZ 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 0QSH4DZ?

The CMS GEMs map 0QSH4DZ to ICD-9-CM 78.17 (Application of external fixator device, tibia and fibula), 79.06 (Closed reduction of fracture without internal fixation, tibia and fibula) and 84.73 (Application of hybrid external fixator device).