0QSH46ZReposition Left Tibia with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach
- Billable / Specific Code
0QSH46Z is a billable ICD-10-PCS procedure code for Reposition Left Tibia with Intramedullary Internal Fixation Device, Percutaneous Endoscopic 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 Reposition involves moving to its normal location, or other suitable location, all or a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Fixation of leg and foot bones.
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 | S | Reposition |
| 4 | BodyPart | H | Tibia, Left |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | 6 | Internal Fixation Device, Intramedullary |
| 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:
To code reposition of the left tibia, open the FY 2027 ICD-10-PCS Alphabetic Index at Reposition, then the subterms Tibia, Left. The index leads to table 0QS, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0QSH46Z.
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 0QSH46Z
Is 0QSH46Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Reposition Left Tibia with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0QSH46Z 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 S is the Operation (Reposition); 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 0QSH46Z group to?
On an inpatient stay, Reposition Left Tibia with Intramedullary Internal Fixation Device, Percutaneous Endoscopic 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 0QSH46Z?
Under the General Equivalence Mappings, Reposition Left Tibia with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 79.16 (Closed reduction of fracture with internal fixation, tibia and fibula). The mapping is approximate, so confirm it fits the documentation.
