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ICD-10-PCS 2027 procedure code

0QWH45ZRevision of External Fixation Device in Left Tibia, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Ext Fix in L Tibia, 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 0QWH45Z

0QWH45Z is the ICD-10-PCS code for a revision procedure on the left tibia using a percutaneous endoscopic 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, tibia and fibula, the ICD-9-CM procedure title it maps to (77.17).

For a different body part, codes include 0QW245Z (right pelvic bone), 0QW345Z (left pelvic bone), 0QW645Z (right upper femur), 0QW745Z (left upper femur), 0QW845Z (right femoral shaft), 0QW945Z (left femoral shaft) and 13 more.

The same procedure with a different approach is coded 0QWH05Z (open), 0QWH35Z (percutaneous) and 0QWHX5Z (external).

With a different device, use 0QWH44Z (internal fixation device), 0QWH47Z (autologous tissue substitute), 0QWH4JZ (synthetic substitute) and 0QWH4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC) and DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), under the surgical category “Local Excision and Removal of Internal Fixation Devices Except 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
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
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.

ICD-9-CM equivalent

Converter →
  • 77.17Other incision of bone without division, tibia and fibulaapproximate

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 0QWH45Z

Is 0QWH45Z a valid ICD-10-PCS code for 2027?

Yes. 0QWH45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QWH45Z an O.R. procedure?

Yes. 0QWH45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QWH45Z group to?

Depending on the principal diagnosis, 0QWH45Z can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0QWH45Z?

The CMS GEMs map 0QWH45Z to ICD-9-CM 77.17 (Other incision of bone without division, tibia and fibula).