0Q574ZZDestruction of Left Upper Femur, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0Q574ZZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0Q574ZZ is a billable ICD-10-PCS procedure code for Destruction of Left Upper Femur, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 8 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Bone excision.

Code Identity

ICD-10-PCS Code
0Q574ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Destruction of Left Upper Femur, Percutaneous Endoscopic Approach
Short Description
Destruction of Left Upper Femur, Perc Endo Approach
Parent Code

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemQLower Bones
3Operation5Destruction
4BodyPart7Upper Femur, Left
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Anatomy or device term that leads here
Anatomy or device term that leads here
Destruction, Femur, Upper, Left
Leads to this code's table

To code destruction of the left upper femur, open the FY 2027 ICD-10-PCS Alphabetic Index at Destruction, then the subterms Femur, Upper, Left. The index leads to table 0Q5, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0Q574ZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST018
Bone excision
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

77.65
Local excision of lesion or tissue of bone, femur
Approximate match.

Similar Procedure Codes

Questions About 0Q574ZZ

Is 0Q574ZZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Left Upper Femur, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0Q574ZZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character Q is the Body System (Lower Bones); the 3rd character 5 is the Operation (Destruction); the 4th character 7 is the BodyPart (Upper Femur, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0Q574ZZ group to?

On an inpatient stay, Destruction of Left Upper Femur, Percutaneous Endoscopic Approach maps to MS-DRGs 498, 499, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0Q574ZZ?

Under the General Equivalence Mappings, Destruction of Left Upper Femur, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 77.65 (Local excision of lesion or tissue of bone, femur). The mapping is approximate, so confirm it fits the documentation.