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ICD-10-PCS 2027 procedure code

0QSM45ZReposition Left Tarsal with External Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Left Tarsal 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 0QSM45Z

0QSM45Z is the ICD-10-PCS code for a reposition procedure on the left tarsal 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, tarsals and metatarsals and closed reduction of fracture without internal fixation, tarsals and metatarsals, the ICD-9-CM procedure titles it maps to (78.18 and 79.07).

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 0QSM05Z (open) and 0QSM35Z (percutaneous).

With a different device, use 0QSM44Z (internal fixation device) and 0QSM4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot 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 “Foot 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
MTarsal, Left

Includes: Calcaneus; Cuboid bone; Intermediate cuneiform bone; Lateral cuneiform bone; Medial cuneiform bone; Navicular bone; Talus bone

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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Foot Procedures

ICD-9-CM equivalent

Converter →
  • 78.18Application of external fixator device, tarsals and metatarsalsapproximate, combination
  • 79.07Closed reduction of fracture without internal fixation, tarsals and metatarsalsapproximate, 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 0QSM45Z

Is 0QSM45Z a valid ICD-10-PCS code for 2027?

Yes. 0QSM45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QSM45Z an O.R. procedure?

Yes. 0QSM45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QSM45Z group to?

Depending on the principal diagnosis, 0QSM45Z can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QSM45Z?

The CMS GEMs map 0QSM45Z to ICD-9-CM 78.18 (Application of external fixator device, tarsals and metatarsals) and 79.07 (Closed reduction of fracture without internal fixation, tarsals and metatarsals).