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ICD-10-PCS 2027 procedure code

0QW905ZRevision of External Fixation Device in Left Femoral Shaft, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Ext Fix in L Femur Shaft, 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 0QW905Z

0QW905Z is the ICD-10-PCS code for a revision procedure on the left femoral shaft using an open approach with external 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 0QW205Z (right pelvic bone), 0QW305Z (left pelvic bone), 0QW605Z (right upper femur), 0QW705Z (left upper femur), 0QW805Z (right femoral shaft), 0QWB05Z (right lower femur) and 13 more.

The same procedure with a different approach is coded 0QW935Z (percutaneous), 0QW945Z (percutaneous endoscopic) and 0QW9X5Z (external).

With a different device, use 0QW904Z (internal fixation device), 0QW907Z (autologous tissue substitute), 0QW90JZ (synthetic substitute) and 0QW90KZ (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
9Femoral Shaft, Left

Includes: Body of femur

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
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 · 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 0QW905Z

Is 0QW905Z a valid ICD-10-PCS code for 2027?

Yes. 0QW905Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QW905Z an O.R. procedure?

Yes. 0QW905Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QW905Z group to?

Depending on the principal diagnosis, 0QW905Z can group to MS-DRG 498 and MS-DRG 499.

What is the ICD-9 procedure code for 0QW905Z?

The CMS GEMs map 0QW905Z to ICD-9-CM 77.15 (Other incision of bone without division, femur).