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ICD-10-PCS 2027 procedure code

0QSS4ZZReposition Coccyx, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0QSS4ZZ

0QSS4ZZ is the ICD-10-PCS code for a reposition procedure on the coccyx using a percutaneous endoscopic approach. 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 repair of vertebral fracture, the ICD-9-CM procedure title it maps to (03.53).

For a different body part, codes include 0QS04ZZ (lumbar vertebra), 0QS14ZZ (sacrum), 0QS24ZZ (right pelvic bone), 0QS34ZZ (left pelvic bone), 0QS44ZZ (right acetabulum), 0QS54ZZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QSS0ZZ (open), 0QSS3ZZ (percutaneous) and 0QSSXZZ (external).

With a different device, use 0QSS44Z (internal fixation device).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

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
SCoccyx
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
ZNo 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 · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

ICD-9-CM equivalent

Converter →
  • 03.53Repair of vertebral fractureapproximate

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 0QSS4ZZ

Is 0QSS4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0QSS4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QSS4ZZ an O.R. procedure?

Yes. 0QSS4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QSS4ZZ group to?

Depending on the principal diagnosis, 0QSS4ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 0QSS4ZZ?

The CMS GEMs map 0QSS4ZZ to ICD-9-CM 03.53 (Repair of vertebral fracture).