0QHH36ZInsertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Approach

  • Billable / Specific Code
ICD-10-PCS 0QHH36Z
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0QHH36Z is a billable ICD-10-PCS procedure code for Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Approach. 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 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Fixation of leg and foot bones.

Code Identity

ICD-10-PCS Code
0QHH36Z
Billable Status
Yes — Valid for Submission
Code Describes
Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Approach
Short Description
Insertion of Intramed Fix into L Tibia, Perc 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
3OperationHInsertion
4BodyPartHTibia, Left
5Approach3Percutaneous
6Device6Internal Fixation Device, Intramedullary
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
Anatomy or device term that leads here
Leads to this code's table
Anatomy or device term that leads here

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST011
Fixation of leg and foot bones
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.

78.57
Internal fixation of bone without fracture reduction, tibia and fibula
Approximate match.

Code History

Replaced in the FY 2027 code set by:
  • 0QHH37Z — Insertion of Int Limb Length into L Tibia, Perc Approach

Similar Procedure Codes

Questions About 0QHH36Z

Is 0QHH36Z a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0QHH36Z 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 H is the Operation (Insertion); the 4th character H is the BodyPart (Tibia, Left); the 5th character 3 is the Approach (Percutaneous); the 6th character 6 is the Device (Internal Fixation Device, Intramedullary); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0QHH36Z group to?

On an inpatient stay, Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Approach maps to MS-DRGs 492, 493, 494, 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 0QHH36Z?

Under the General Equivalence Mappings, Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Approach crosswalks to ICD-9-PCS 78.57 (Internal fixation of bone without fracture reduction, tibia and fibula). The mapping is approximate, so confirm it fits the documentation.