0QPD35Z ICD-10-PCS Code: Removal of External Fixation Device from Right Patella, Percutaneous Approach
Removal of Ext Fix from R Patella, Perc 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 OperationP | Removal Taking out or off a device from a body part |
| 4 | Body PartD | Patella, Right |
| 5 | Approach3 | Percutaneous |
| 6 | Device5 | External Fixation 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 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
- 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.
0QP835Z — Removal of External Fixation Device from Right Femoral Shaft, Percutaneous Approach, 0QP935Z — Removal of External Fixation Device from Left Femoral Shaft, Percutaneous Approach, 0QPB35Z — Removal of External Fixation Device from Right Lower Femur, Percutaneous Approach, 0QPC35Z — Removal of External Fixation Device from Left Lower Femur, Percutaneous Approach, 0QPF35Z — Removal of External Fixation Device from Left Patella, Percutaneous Approach, 0QPG35Z — Removal of External Fixation Device from Right Tibia, Percutaneous Approach, 0QPH35Z — Removal of External Fixation Device from Left Tibia, Percutaneous Approach, 0QPJ35Z — Removal of External Fixation Device from Right Fibula, Percutaneous Approach, +16 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0QPD05Z — Removal of External Fixation Device from Right Patella, Open Approach, 0QPD45Z — Removal of External Fixation Device from Right Patella, Percutaneous Endoscopic Approach, 0QPDX5Z — Removal of External Fixation Device from Right Patella, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0QPD34Z — Removal of Internal Fixation Device from Right Patella, Percutaneous Approach, 0QPD37Z — Removal of Autologous Tissue Substitute from Right Patella, Percutaneous Approach, 0QPD3JZ — Removal of Synthetic Substitute from Right Patella, Percutaneous Approach, 0QPD3KZ — Removal of Nonautologous Tissue Substitute from Right Patella, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Fixation of leg and foot bones (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.
0QHQ34Z — Insertion of Internal Fixation Device into Right Toe Phalanx, Percutaneous Approach, 0QHQ35Z — Insertion of External Fixation Device into Right Toe Phalanx, Percutaneous Approach, 0QHQ44Z — Insertion of Internal Fixation Device into Right Toe Phalanx, Percutaneous Endoscopic Approach, 0QHQ45Z — Insertion of External Fixation Device into Right Toe Phalanx, Percutaneous Endoscopic Approach, 0QHR04Z — Insertion of Internal Fixation Device into Left Toe Phalanx, Open Approach, 0QHR05Z — Insertion of External Fixation Device into Left Toe Phalanx, Open Approach, 0QHR34Z — Insertion of Internal Fixation Device into Left Toe Phalanx, Percutaneous Approach, 0QHR35Z — Insertion of External Fixation Device into Left Toe Phalanx, Percutaneous Approach, 0QHR44Z — Insertion of Internal Fixation Device into Left Toe Phalanx, Percutaneous Endoscopic Approach, 0QHR45Z — Insertion of External Fixation Device into Left Toe Phalanx, Percutaneous Endoscopic Approach, 0QSD04Z — Reposition Right Patella with Internal Fixation Device, Open Approach, 0QSD05Z — Reposition Right Patella with External Fixation Device, Open Approach, 0QSD0ZZ — Reposition Right Patella, Open Approach, 0QSD34Z — Reposition Right Patella with Internal Fixation Device, Percutaneous Approach, 0QSD35Z — Reposition Right Patella with External Fixation Device, Percutaneous Approach, 0QSD3ZZ — Reposition Right Patella, Percutaneous Approach, 0QSD44Z — Reposition Right Patella with Internal Fixation Device, Percutaneous Endoscopic Approach, 0QSD45Z — Reposition Right Patella with External Fixation Device, Percutaneous Endoscopic Approach, 0QSD4ZZ — Reposition Right Patella, Percutaneous Endoscopic Approach, 0QSF04Z — Reposition Left Patella with Internal Fixation Device, Open Approach, +374 more
Contextual Map
Every relationship of 0QPD35Z 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 0QPD35Z with these 5 related codes in Claim Check
PCS table
- 0QP[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
- Removal — Operation: Removal[Operation]: “Removal”— CMS ICD-10-PCS tables
MS-DRG participation (9)
- DRG 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 496 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices Except Hip 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)
- MST011 — Fixation of leg and foot bones[CCSR category]: “Fixation of leg and foot bones — 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
- 0QP035Z — Removal of External Fixation Device from Lumbar Vertebra, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QP135Z — Removal of External Fixation Device from Sacrum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QP235Z — Removal of External Fixation Device from Right Pelvic Bone, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QP335Z — Removal of External Fixation Device from Left Pelvic Bone, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QP435Z — Removal of External Fixation Device from Right Acetabulum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QP535Z — Removal of External Fixation Device from Left Acetabulum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QP635Z — Removal of External Fixation Device from Right Upper Femur, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QP735Z — Removal of External Fixation Device from Left Upper Femur, Percutaneous 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