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ICD-10-PCS 2027 procedure code

0QWR05ZRevision of External Fixation Device in Left Toe Phalanx, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Ext Fix in L Toe Phalanx, 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 0QWR05Z

0QWR05Z is the ICD-10-PCS code for a revision procedure on the left toe phalanx 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, other bones, the ICD-9-CM procedure title it maps to (77.19).

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), 0QW905Z (left femoral shaft) and 13 more.

The same procedure with a different approach is coded 0QWR35Z (percutaneous), 0QWR45Z (percutaneous endoscopic) and 0QWRX5Z (external).

With a different device, use 0QWR04Z (internal fixation device), 0QWR07Z (autologous tissue substitute), 0QWR0JZ (synthetic substitute) and 0QWR0KZ (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
RToe Phalanx, Left
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.

ICD-9-CM equivalent

Converter →
  • 77.19Other incision of bone without division, other bonesapproximate

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 0QWR05Z

Is 0QWR05Z a valid ICD-10-PCS code for 2027?

Yes. 0QWR05Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QWR05Z an O.R. procedure?

Yes. 0QWR05Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QWR05Z group to?

Depending on the principal diagnosis, 0QWR05Z can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0QWR05Z?

The CMS GEMs map 0QWR05Z to ICD-9-CM 77.19 (Other incision of bone without division, other bones).