0QSP452Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0QSP452
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0QSP452 is a billable ICD-10-PCS procedure code for Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, 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 Reposition involves moving to its normal location, or other suitable location, all or a portion of a body part.

Code Identity

ICD-10-PCS Code
0QSP452
Billable Status
Yes — Valid for Submission
Code Describes
Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Percutaneous Endoscopic Approach
Parent Code
Short Description
Reposition L Metatarsal, Sesamd Bn, w Ext Fix, Perc Endo

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
3OperationSReposition
4BodyPartPMetatarsal, Left
5Approach4Percutaneous Endoscopic
6Device5External Fixation Device
7Qualifier2Sesamoid Bone(s) 1st Toe

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0QSP452 under the General Equivalence Mappings.

79.07
Approximate match; combination (more than one code may be needed).
78.18
Approximate match; combination (more than one code may be needed).

Code History

Replaces previously assigned code(s):
  • 0QSP45Z — Reposition Left Metatarsal with Ext Fix, Perc Endo Approach

Similar Procedure Codes

Questions About 0QSP452

Is 0QSP452 a billable code?

Yes. 0QSP452 is a complete seven-character ICD-10-PCS code, specific enough to report Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0QSP452 mean?

0QSP452 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 P is the BodyPart (Metatarsal, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 5 is the Device (External Fixation Device); the 7th character 2 is the Qualifier (Sesamoid Bone(s) 1st Toe).

What MS-DRG does 0QSP452 group to?

On an inpatient stay, Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Percutaneous Endoscopic Approach maps to MS-DRGs 503, 504, 505, 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 0QSP452?

Under the General Equivalence Mappings, Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 79.07 and 78.18. The mapping is approximate, so confirm it fits the documentation.