ICD-9-CM procedure code (retired)
78.18 — Application of external fixator device, tarsals and metatarsals
About ICD-9-CM 78.18
78.18 is an ICD-9-CM procedure code for application of external fixator device, tarsals and metatarsals. ICD-9-CM was retired for U.S. claims on October 1, 2015, when ICD-10-PCS took over.
The CMS General Equivalence Mappings translate it to 12 ICD-10-PCS codes, such as 0QHL05Z (Insertion of External Fixation Device into Right Tarsal, Open Approach), 0QHL35Z (Insertion of External Fixation Device into Right Tarsal, Percutaneous Approach) and 0QHL45Z (Insertion of External Fixation Device into Right Tarsal, Percutaneous Endoscopic Approach). All of these are approximate matches, so review the record to pick the right one.
ICD-10-PCS equivalents
- 0QHL05ZInsertion of External Fixation Device into Right Tarsal, Open Approachapproximate
- 0QHL35ZInsertion of External Fixation Device into Right Tarsal, Percutaneous Approachapproximate
- 0QHL45ZInsertion of External Fixation Device into Right Tarsal, Percutaneous Endoscopic Approachapproximate
- 0QHM05ZInsertion of External Fixation Device into Left Tarsal, Open Approachapproximate
- 0QHM35ZInsertion of External Fixation Device into Left Tarsal, Percutaneous Approachapproximate
- 0QHM45ZInsertion of External Fixation Device into Left Tarsal, Percutaneous Endoscopic Approachapproximate
- 0QHN05ZInsertion of External Fixation Device into Right Metatarsal, Open Approachapproximate
- 0QHN35ZInsertion of External Fixation Device into Right Metatarsal, Percutaneous Approachapproximate
- 0QHN45ZInsertion of External Fixation Device into Right Metatarsal, Percutaneous Endoscopic Approachapproximate
- 0QHP05ZInsertion of External Fixation Device into Left Metatarsal, Open Approachapproximate
- 0QHP35ZInsertion of External Fixation Device into Left Metatarsal, Percutaneous Approachapproximate
- 0QHP45ZInsertion of External Fixation Device into Left Metatarsal, Percutaneous Endoscopic Approachapproximate
Common questions about 78.18
What is the ICD-10 code for ICD-9 78.18?
- The GEMs map 78.18 to ICD-10-PCS 0QHL05Z, 0QHL35Z, 0QHL45Z, 0QHM05Z, 0QHM35Z, 0QHM45Z and 6 more.
GEMs are a translation aid, not a substitute for coding from the record. The 2027 ICD-10 code set has changed since the last GEMs release in 2018. Page updated September 29, 2026.