0QB74ZXExcision of Left Upper Femur, Percutaneous Endoscopic Approach, Diagnostic
- Billable / Specific Code
0QB74ZX is a billable ICD-10-PCS procedure code for Excision of Left Upper Femur, Percutaneous Endoscopic Approach, Diagnostic. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 16 MS-DRGs. The root operation Excision involves cutting out or off, without replacement, a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Bone and joint biopsy.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | Q | Lower Bones |
| 3 | Operation | B | Excision |
| 4 | BodyPart | 7 | Upper Femur, Left |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | X | Diagnostic |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code excision of the left upper femur, open the FY 2027 ICD-10-PCS Alphabetic Index at Excision, then the subterms Femur, Upper, Left. The index leads to table 0QB, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0QB74ZX.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0QB74ZX
Is 0QB74ZX a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Excision of Left Upper Femur, Percutaneous Endoscopic Approach, Diagnostic on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0QB74ZX 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 B is the Operation (Excision); 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 X is the Qualifier (Diagnostic).
What MS-DRG does 0QB74ZX group to?
On an inpatient stay, Excision of Left Upper Femur, Percutaneous Endoscopic Approach, Diagnostic maps to MS-DRGs 477, 478, 479, 579, 580, 581, 628, 629, 630, 673, 674, 675, 715, 716, 717, 718, with relative weights from 1.3282 to 4.2523. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0QB74ZX?
Under the General Equivalence Mappings, Excision of Left Upper Femur, Percutaneous Endoscopic Approach, Diagnostic crosswalks to ICD-9-PCS 77.45 (Biopsy of bone, femur). The mapping is approximate, so confirm it fits the documentation.
