0QBK4ZZ ICD-10-PCS Code: Excision of Left Fibula, Percutaneous Endoscopic Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemQ | Lower Bones |
| 3 | Root OperationB | Excision Cutting out or off, without replacement, a portion of a body part |
| 4 | Body PartK | Fibula, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:
- MDC 08 — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur: DRG 492, DRG 493, DRG 494
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0QBF4ZZ — Excision of Left Patella, Percutaneous Endoscopic Approach, 0QBG4ZZ — Excision of Right Tibia, Percutaneous Endoscopic Approach, 0QBH4ZZ — Excision of Left Tibia, Percutaneous Endoscopic Approach, 0QBJ4ZZ — Excision of Right Fibula, Percutaneous Endoscopic Approach, 0QBL4ZZ — Excision of Right Tarsal, Percutaneous Endoscopic Approach, 0QBM4ZZ — Excision of Left Tarsal, Percutaneous Endoscopic Approach, 0QBN4ZZ — Excision of Right Metatarsal, Percutaneous Endoscopic Approach, 0QBP4ZZ — Excision of Left Metatarsal, Percutaneous Endoscopic Approach, +16 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0QBK0ZZ — Excision of Left Fibula, Open Approach, 0QBK3ZZ — Excision of Left Fibula, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0QBK4ZX — Excision of Left Fibula, Percutaneous Endoscopic Approach, Diagnostic
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone excision (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0Q5P4ZZ — Destruction of Left Metatarsal, Percutaneous Endoscopic Approach, 0Q5Q0ZZ — Destruction of Right Toe Phalanx, Open Approach, 0Q5Q3ZZ — Destruction of Right Toe Phalanx, Percutaneous Approach, 0Q5Q4ZZ — Destruction of Right Toe Phalanx, Percutaneous Endoscopic Approach, 0Q5R0ZZ — Destruction of Left Toe Phalanx, Open Approach, 0Q5R3ZZ — Destruction of Left Toe Phalanx, Percutaneous Approach, 0Q5R4ZZ — Destruction of Left Toe Phalanx, Percutaneous Endoscopic Approach, 0Q5S0ZZ — Destruction of Coccyx, Open Approach, 0Q5S3ZZ — Destruction of Coccyx, Percutaneous Approach, 0Q5S4ZZ — Destruction of Coccyx, Percutaneous Endoscopic Approach, 0QD00ZZ — Extraction of Lumbar Vertebra, Open Approach, 0QD10ZZ — Extraction of Sacrum, Open Approach, 0QD20ZZ — Extraction of Right Pelvic Bone, Open Approach, 0QD30ZZ — Extraction of Left Pelvic Bone, Open Approach, 0QD40ZZ — Extraction of Right Acetabulum, Open Approach, 0QD50ZZ — Extraction of Left Acetabulum, Open Approach, 0QD60ZZ — Extraction of Right Upper Femur, Open Approach, 0QD70ZZ — Extraction of Left Upper Femur, Open Approach, 0QD80ZZ — Extraction of Right Femoral Shaft, Open Approach, 0QD90ZZ — Extraction of Left Femoral Shaft, Open Approach, +512 more
Contextual Map
Every relationship of 0QBK4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0QBK4ZZ with these 5 related codes in Claim Check
PCS table
- 0QB[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Bones — Body System: Lower Bones[Body System]: “Lower Bones”— CMS ICD-10-PCS tables
- Excision — Operation: Excision[Operation]: “Excision”— CMS ICD-10-PCS tables
MS-DRG participation (9)
- DRG 492 — LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC[MS-DRG]: “LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 493 — LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC[MS-DRG]: “LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 494 — LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 1 more
Clinical classification (CCSR)
- MST018 — Bone excision[CCSR category]: “Bone excision — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (40463)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A18.02 — Tuberculous arthritis of other joints[Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A18.03 — Tuberculosis of other bones[Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 40458 more
Nearest codes
- 0QB04ZZ — Excision of Lumbar Vertebra, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0QB14ZZ — Excision of Sacrum, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0QB24ZZ — Excision of Right Pelvic Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0QB34ZZ — Excision of Left Pelvic Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0QB44ZZ — Excision of Right Acetabulum, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0QB54ZZ — Excision of Left Acetabulum, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0QB64ZZ — Excision of Right Upper Femur, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0QB74ZZ — Excision of Left Upper Femur, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels