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ICD-10-PCS 2027 procedure code

XNS40GAReposition Right Humeral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10

✓ Valid for 2027O.R. procedure

Short description: Reposition R Hmr Shaf w Rng Fix Auto Ajst, Open, New Tech 10

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About XNS40GA

XNS40GA is the ICD-10-PCS code for a reposition procedure on the right humeral shaft using an open approach with ring external fixation device with automated strut adjustment (qualifier: new technology group 10). In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

For a different body part, codes include XNS50GA (left humeral shaft), XNS60GA (right radius), XNS70GA (left radius), XNS80GA (right ulna), XNS90GA (left ulna), XNSA0GA (right upper femur) and 7 more.

The same procedure with a different approach is coded XNS43GA (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2026, effective October 1, 2025.

What each character means

1. Section
XNew Technology
2. Body System
NBones
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
4Humeral Shaft, 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 / Substance / Technology
GRing External Fixation Device with Automated Strut Adjustment
7. Qualifier
ANew Technology Group 10

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

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
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about XNS40GA

Is XNS40GA a valid ICD-10-PCS code for 2027?

Yes. XNS40GA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XNS40GA an O.R. procedure?

Yes. XNS40GA is an O.R. procedure in MS-DRG v44.0.

What DRG does XNS40GA group to?

Depending on the principal diagnosis, XNS40GA can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.