0QP645ZRemoval of External Fixation Device from Right Upper Femur, Percutaneous Endoscopic Approach
- Billable / Specific Code
0QP645Z is a billable ICD-10-PCS procedure code for Removal of External Fixation Device from Right Upper Femur, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 8 MS-DRGs. The root operation Removal involves taking out or off a device from a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Femur fixation.
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 | P | Removal |
| 4 | BodyPart | 6 | Upper Femur, Right |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | 5 | External Fixation Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
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 0QP645Z
Is 0QP645Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Removal of External Fixation Device from Right Upper Femur, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0QP645Z 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 P is the Operation (Removal); the 4th character 6 is the BodyPart (Upper Femur, Right); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 5 is the Device (External Fixation Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0QP645Z group to?
On an inpatient stay, Removal of External Fixation Device from Right Upper Femur, Percutaneous Endoscopic Approach maps to MS-DRGs 498, 499, 628, 629, 630, 907, 908, 909, with relative weights from 1.3715 to 3.8962. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0QP645Z?
Under the General Equivalence Mappings, Removal of External Fixation Device from Right Upper Femur, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 78.65 (Removal of implanted devices from bone, femur). The mapping is approximate, so confirm it fits the documentation.
