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ICD-10-PCS 2027 procedure code

0QW604ZRevision of Internal Fixation Device in Right Upper Femur, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Int Fix in R Up Femur, 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 0QW604Z

0QW604Z is the ICD-10-PCS code for a revision procedure on the right upper femur using an open approach with internal fixation device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other incision of bone without division, femur, the ICD-9-CM procedure title it maps to (77.15).

For a different body part, codes include 0QW004Z (lumbar vertebra), 0QW104Z (sacrum), 0QW204Z (right pelvic bone), 0QW304Z (left pelvic bone), 0QW404Z (right acetabulum), 0QW504Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QW634Z (percutaneous), 0QW644Z (percutaneous endoscopic) and 0QW6X4Z (external).

With a different device, use 0QW605Z (external fixation device), 0QW607Z (autologous tissue substitute), 0QW60JZ (synthetic substitute) and 0QW60KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 498 (Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC) and DRG 499 (Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC), under the surgical category “Local Excision and Removal of Internal Fixation Devices of Hip and Femur”.

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
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
6Upper Femur, 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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Local Excision and Removal of Internal Fixation Devices of Hip and Femur

ICD-9-CM equivalent

Converter →
  • 77.15Other incision of bone without division, femurapproximate

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 0QW604Z

Is 0QW604Z a valid ICD-10-PCS code for 2027?

Yes. 0QW604Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QW604Z an O.R. procedure?

Yes. 0QW604Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QW604Z group to?

Depending on the principal diagnosis, 0QW604Z can group to MS-DRG 498 and MS-DRG 499.

What is the ICD-9 procedure code for 0QW604Z?

The CMS GEMs map 0QW604Z to ICD-9-CM 77.15 (Other incision of bone without division, femur).