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Inpatient Procedure Code

0QP0X4Z ICD-10-PCS Code: Removal of Internal Fixation Device from Lumbar Vertebra, External Approach

Removal of Int Fix from Lum Vertebra, Extern 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemQ

Lower Bones

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body Part0

Lumbar Vertebra

5
ApproachX

External

6
Device4

Internal Fixation Device

7
QualifierZ

No Qualifier

Related Codes

Same operation — other Body Part

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

0QP1X4Z — Removal of Internal Fixation Device from Sacrum, External Approach, 0QP2X4Z — Removal of Internal Fixation Device from Right Pelvic Bone, External Approach, 0QP3X4Z — Removal of Internal Fixation Device from Left Pelvic Bone, External Approach, 0QP4X4Z — Removal of Internal Fixation Device from Right Acetabulum, External Approach, 0QP5X4Z — Removal of Internal Fixation Device from Left Acetabulum, External Approach, 0QP6X4Z — Removal of Internal Fixation Device from Right Upper Femur, External Approach, 0QP7X4Z — Removal of Internal Fixation Device from Left Upper Femur, External Approach, 0QP8X4Z — Removal of Internal Fixation Device from Right Femoral Shaft, External Approach, +16 more

Same operation — other Approach

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

0QP004Z — Removal of Internal Fixation Device from Lumbar Vertebra, Open Approach, 0QP034Z — Removal of Internal Fixation Device from Lumbar Vertebra, Percutaneous Approach, 0QP044Z — Removal of Internal Fixation Device from Lumbar Vertebra, Percutaneous Endoscopic Approach

Same operation — other Device

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

0QP0X5Z — Removal of External Fixation Device from Lumbar Vertebra, External Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone fixation (excluding extremities) (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.

0QH534Z — Insertion of Internal Fixation Device into Left Acetabulum, Percutaneous Approach, 0QH535Z — Insertion of External Fixation Device into Left Acetabulum, Percutaneous Approach, 0QH544Z — Insertion of Internal Fixation Device into Left Acetabulum, Percutaneous Endoscopic Approach, 0QH545Z — Insertion of External Fixation Device into Left Acetabulum, Percutaneous Endoscopic Approach, 0QHS04Z — Insertion of Internal Fixation Device into Coccyx, Open Approach, 0QHS05Z — Insertion of External Fixation Device into Coccyx, Open Approach, 0QHS34Z — Insertion of Internal Fixation Device into Coccyx, Percutaneous Approach, 0QHS35Z — Insertion of External Fixation Device into Coccyx, Percutaneous Approach, 0QHS44Z — Insertion of Internal Fixation Device into Coccyx, Percutaneous Endoscopic Approach, 0QHS45Z — Insertion of External Fixation Device into Coccyx, Percutaneous Endoscopic Approach, 0QS003Z — Reposition Lumbar Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Open Approach, 0QS004Z — Reposition Lumbar Vertebra with Internal Fixation Device, Open Approach, 0QS00ZZ — Reposition Lumbar Vertebra, Open Approach, 0QS034Z — Reposition Lumbar Vertebra with Internal Fixation Device, Percutaneous Approach, 0QS03ZZ — Reposition Lumbar Vertebra, Percutaneous Approach, 0QS043Z — Reposition Lumbar Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Percutaneous Endoscopic Approach, 0QS044Z — Reposition Lumbar Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach, 0QS04ZZ — Reposition Lumbar Vertebra, Percutaneous Endoscopic Approach, 0QS104Z — Reposition Sacrum with Internal Fixation Device, Open Approach, 0QS10ZZ — Reposition Sacrum, Open Approach, +502 more

Contextual Map

Every relationship of 0QP0X4Z 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.

PCS table

Clinical classification (CCSR)

Nearest codes

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