0QU90JZSupplement Left Femoral Shaft with Synthetic Substitute, Open Approach
- Billable / Specific Code
0QU90JZ is a billable ICD-10-PCS procedure code for Supplement Left Femoral Shaft with Synthetic Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 7 MS-DRGs. The root operation Supplement involves putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Musculoskeletal device procedures, NEC.
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 | U | Supplement |
| 4 | BodyPart | 9 | Femoral Shaft, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | J | Synthetic Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2026 ICD-10-PCS Alphabetic Index entries lead to this code:
To code supplement of the left femoral shaft, open the FY 2026 ICD-10-PCS Alphabetic Index at Supplement, then the subterms Femoral Shaft, Left. The index leads to table 0QU, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0QU90JZ.
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 0QU90JZ
Is 0QU90JZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Supplement Left Femoral Shaft with Synthetic Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0QU90JZ 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 U is the Operation (Supplement); the 4th character 9 is the BodyPart (Femoral Shaft, Left); the 5th character 0 is the Approach (Open); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0QU90JZ group to?
On an inpatient stay, Supplement Left Femoral Shaft with Synthetic Substitute, Open Approach maps to MS-DRGs 480, 481, 482, 907, 908, 909, 956, with relative weights from 1.3127 to 3.8393. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0QU90JZ?
Under the General Equivalence Mappings, Supplement Left Femoral Shaft with Synthetic Substitute, Open Approach crosswalks to ICD-9-PCS 78.45 (Other repair or plastic operations on bone, femur). The mapping is approximate, so confirm it fits the documentation.
