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Inpatient Procedure Code

0QBN4Z2 ICD-10-PCS Code: Excision of Right Metatarsal, Sesamoid Bone(s) 1st Toe, Percutaneous Endoscopic Approach

Excision of Right Metatarsal, Sesamd Bn, Perc Endo Approach

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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.

PositionValueMeaning
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 PartN

Metatarsal, Right

5
Approach4

Percutaneous Endoscopic

6
DeviceZ

No Device

7
Qualifier2

Sesamoid Bone(s) 1st Toe

MS-DRG Grouper Relationships (FY2027)

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 12 MS-DRGs:

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.

0QBP4Z2 — Excision of Left Metatarsal, Sesamoid Bone(s) 1st Toe, Percutaneous Endoscopic Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0QBN0Z2 — Excision of Right Metatarsal, Sesamoid Bone(s) 1st Toe, Open Approach, 0QBN3Z2 — Excision of Right Metatarsal, Sesamoid Bone(s) 1st Toe, Percutaneous Approach

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

0QBN4ZX — Excision of Right Metatarsal, Percutaneous Endoscopic Approach, Diagnostic, 0QBN4ZZ — Excision of Right Metatarsal, Percutaneous Endoscopic Approach

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 0QBN4Z2 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 0QBN4Z2 with these 5 related codes in Claim Check

PCS table

MS-DRG participation (12)

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 (32424)

  • 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 · FY2027
  • MDC 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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 · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • and 32419 more

Nearest codes

Change history

Change history

  • FY2022 — October 1, 2021
    Added to the code set
    Excision of Right Metatarsal, Sesamoid Bone(s) 1st Toe, Percutaneous Endoscopic Approach
    FY2022 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources