0QHH46ZInsertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Endoscopic Approach
- Billable / Specific Code
0QHH46Z is a billable ICD-10-PCS procedure code for Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Endoscopic 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
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 | H | Insertion |
| 4 | BodyPart | H | Tibia, Left |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | 6 | Internal Fixation Device, Intramedullary |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 0QHH46Z under the General Equivalence Mappings.
Code History
- 0QHH47Z — Insert of Int Limb Length into L Tibia, Perc Endo Approach
Similar Procedure Codes
Questions About 0QHH46Z
Is 0QHH46Z a billable code?
Yes. 0QHH46Z is a complete seven-character ICD-10-PCS code, specific enough to report Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0QHH46Z mean?
0QHH46Z 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 4 is the Approach (Percutaneous Endoscopic); the 6th character 6 is the Device (Internal Fixation Device, Intramedullary); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0QHH46Z group to?
On an inpatient stay, Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Endoscopic Approach maps to MS-DRGs 492, 493, 494, 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 0QHH46Z?
Under the General Equivalence Mappings, Insertion of Intramedullary Internal Fixation Device into Left Tibia, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 78.57. The mapping is approximate, so confirm it fits the documentation.
