0QH204ZInsertion of Internal Fixation Device into Right Pelvic Bone, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0QH204Z
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0QH204Z is a billable ICD-10-PCS procedure code for Insertion of Internal Fixation Device into Right Pelvic Bone, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 MS-DRGs. The root operation Insertion involves putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

Code Identity

ICD-10-PCS Code
0QH204Z
Billable Status
Yes — Valid for Submission
Code Describes
Insertion of Internal Fixation Device into Right Pelvic Bone, Open Approach
Parent Code
Short Description
Insertion of Int Fix into R Pelvic Bone, Open Approach

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
3OperationHInsertion
4BodyPart2Pelvic Bone, Right
5Approach0Open
6Device4Internal Fixation Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0QH204Z under the General Equivalence Mappings.

78.59
Approximate match.

Code History

Replaced in the FY 2026 code set by:
  • XNH6058 — Insert Tulp-Connect Fix in R Pelvic Bone, Open, New Tech 8
  • XNH60HB — Insert Bone-Spf Thred IFD in R Pelv Bn, Open, New Tech 11

Similar Procedure Codes

Questions About 0QH204Z

Is 0QH204Z a billable code?

Yes. 0QH204Z is a complete seven-character ICD-10-PCS code, specific enough to report Insertion of Internal Fixation Device into Right Pelvic Bone, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0QH204Z mean?

0QH204Z 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 H is the Operation (Insertion); the 4th character 2 is the BodyPart (Pelvic Bone, Right); the 5th character 0 is the Approach (Open); the 6th character 4 is the Device (Internal Fixation Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0QH204Z group to?

On an inpatient stay, Insertion of Internal Fixation Device into Right Pelvic Bone, Open Approach maps to MS-DRGs 515, 516, 517, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0QH204Z?

Under the General Equivalence Mappings, Insertion of Internal Fixation Device into Right Pelvic Bone, Open Approach crosswalks to ICD-9-PCS 78.59. The mapping is approximate, so confirm it fits the documentation.