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Inpatient Procedure Code

0QQR4ZZ ICD-10-PCS Code: Repair Left Toe Phalanx, 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemQ

Lower Bones

3
Root OperationQ

Repair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

4
Body PartR

Toe Phalanx, 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:

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.

0QQJ4ZZ — Repair Right Fibula, Percutaneous Endoscopic Approach, 0QQK4ZZ — Repair Left Fibula, Percutaneous Endoscopic Approach, 0QQL4ZZ — Repair Right Tarsal, Percutaneous Endoscopic Approach, 0QQM4ZZ — Repair Left Tarsal, Percutaneous Endoscopic Approach, 0QQN4ZZ — Repair Right Metatarsal, Percutaneous Endoscopic Approach, 0QQP4ZZ — Repair Left Metatarsal, Percutaneous Endoscopic Approach, 0QQQ4ZZ — Repair Right Toe Phalanx, Percutaneous Endoscopic Approach, 0QQS4ZZ — Repair Coccyx, Percutaneous Endoscopic Approach, +16 more

Same operation — other Approach

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

0QQR0ZZ — Repair Left Toe Phalanx, Open Approach, 0QQR3ZZ — Repair Left Toe Phalanx, Percutaneous Approach, 0QQRXZZ — Repair Left Toe Phalanx, 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 0QQR4ZZ 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 0QQR4ZZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

  • MST030 — Musculoskeletal procedures, NEC[CCSR category]: “Musculoskeletal procedures, NEC — 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

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