0QBQ4ZXExcision of Right Toe Phalanx, Percutaneous Endoscopic Approach, Diagnostic

  • Billable / Specific Code
ICD-10-PCS 0QBQ4ZX
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0QBQ4ZX is a billable ICD-10-PCS procedure code for Excision of Right Toe Phalanx, Percutaneous Endoscopic Approach, Diagnostic. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 9 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

ICD-10-PCS Code
0QBQ4ZX
Billable Status
Yes — Valid for Submission
Code Describes
Excision of Right Toe Phalanx, Percutaneous Endoscopic Approach, Diagnostic
Short Description
Excision of Right Toe Phalanx, Perc Endo Approach, Diagn
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
3OperationBExcision
4BodyPartQToe Phalanx, Right
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierXDiagnostic

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
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Anatomy or device term that leads here
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Anatomy or device term that leads here
Excision, Phalanx, Toe, Right
Leads to this code's table

To code excision of the right toe phalanx, open the FY 2027 ICD-10-PCS Alphabetic Index at Excision, then the subterms Phalanx, Toe, Right. The index leads to table 0QB, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0QBQ4ZX.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST002
Bone and joint biopsy
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.

77.49
Biopsy of bone, other bones
Approximate match.

Similar Procedure Codes

Questions About 0QBQ4ZX

Is 0QBQ4ZX a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Excision of Right Toe Phalanx, Percutaneous Endoscopic Approach, Diagnostic on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0QBQ4ZX 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 Q is the BodyPart (Toe Phalanx, Right); 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 0QBQ4ZX group to?

On an inpatient stay, Excision of Right Toe Phalanx, Percutaneous Endoscopic Approach, Diagnostic maps to MS-DRGs 477, 478, 479, 579, 580, 581, 802, 803, 804, with relative weights from 1.4218 to 3.7002. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0QBQ4ZX?

Under the General Equivalence Mappings, Excision of Right Toe Phalanx, Percutaneous Endoscopic Approach, Diagnostic crosswalks to ICD-9-PCS 77.49 (Biopsy of bone, other bones). The mapping is approximate, so confirm it fits the documentation.