0QQ90ZZ ICD-10-PCS Code: Repair Left Femoral Shaft, Open Approach

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 7 MS-DRGs:

• MDC 08 — Hip and Femur Procedures Except Major Joint: DRG 480, DRG 481, DRG 482
• MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
• MDC 24 — Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma: DRG 956

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.

0QQ50ZZ — Repair Left Acetabulum, Open Approach, 0QQ60ZZ — Repair Right Upper Femur, Open Approach, 0QQ70ZZ — Repair Left Upper Femur, Open Approach, 0QQ80ZZ — Repair Right Femoral Shaft, Open Approach, 0QQB0ZZ — Repair Right Lower Femur, Open Approach, 0QQC0ZZ — Repair Left Lower Femur, Open Approach, 0QQD0ZZ — Repair Right Patella, Open Approach, 0QQF0ZZ — Repair Left Patella, Open Approach, +16 more

Same operation — other Approach

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

0QQ93ZZ — Repair Left Femoral Shaft, Percutaneous Approach, 0QQ94ZZ — Repair Left Femoral Shaft, Percutaneous Endoscopic Approach, 0QQ9XZZ — Repair Left Femoral Shaft, External Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Musculoskeletal procedures, NEC (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.

+3309 more

Contextual Map

Every relationship of 0QQ90ZZ 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

• 0QQ[PCS table]
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
• Lower Bones — Body System: Lower Bones[Body System]: “Lower Bones”
• Repair — Operation: Repair[Operation]: “Repair”

MS-DRG participation

• DRG 480 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — Hip and Femur Procedures Except Major Joint (MDC 08)”
• DRG 481 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — Hip and Femur Procedures Except Major Joint (MDC 08)”
• DRG 482 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — Hip and Femur Procedures Except Major Joint (MDC 08)”
• 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)”
• 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)”
• 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)”
• DRG 956 — LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA[MS-DRG]: “LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma (MDC 24)”

Clinical classification (CCSR)

• MST030 — Musculoskeletal procedures, NEC[CCSR category]: “Musculoskeletal procedures, NEC — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”

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.”
• 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.”
• A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0QQ90ZZ + A02.23 together
• A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0QQ90ZZ + A02.24 together
• A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0QQ90ZZ + A18.01 together
• 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.” · Check 0QQ90ZZ + A18.02 together
• 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.” · Check 0QQ90ZZ + A18.03 together
• and 40458 more

Nearest codes

• 0QQ00ZZ — Repair Lumbar Vertebra, Open Approach[One axis away]
• 0QQ10ZZ — Repair Sacrum, Open Approach[One axis away]
• 0QQ20ZZ — Repair Right Pelvic Bone, Open Approach[One axis away]
• 0QQ30ZZ — Repair Left Pelvic Bone, Open Approach[One axis away]
• 0QQ40ZZ — Repair Right Acetabulum, Open Approach[One axis away]
• 0QQ50ZZ — Repair Left Acetabulum, Open Approach[One axis away]
• 0QQ60ZZ — Repair Right Upper Femur, Open Approach[One axis away]
• 0QQ70ZZ — Repair Left Upper Femur, Open Approach[One axis away]