Inpatient Procedure Code
0QS604Z
Reposition Right Upper Femur with Internal Fixation Device, Open Approach
Reposition Right Upper Femur with Int Fix, Open 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 OperationS | Reposition Moving to its normal location, or other suitable location, all or a portion of a body part |
| 4 | Body Part6 | Upper Femur, Right |
| 5 | Approach0 | Open |
| 6 | Device4 | Internal Fixation Device |
| 7 | QualifierZ | No Qualifier |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 10 MS-DRGs:
- MDC 08 — Hip and Femur Procedures Except Major Joint: DRG 480, DRG 481, DRG 482
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- 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.
Contextual Map
Every relationship of 0QS604Z 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
- 0QS[PCS table]
- [object Object] — Section: [object Object] [Section]: “[object Object]”
- [object Object] — Body System: [object Object] [Body System]: “[object Object]”
- [object Object] — Operation: [object Object] [Operation]: “[object Object]”
MS-DRG participation (10)
- 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 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”
- DRG 629 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”
- DRG 630 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”
- 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)”
- and 2 more
MDC crossing · diagnoses (32368)
- 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 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.”
- A02.23 — Salmonella arthritis [Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
- A02.24 — Salmonella osteomyelitis [Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check 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 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 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 together
- and 32363 more
Nearest codes
- 0QS004Z — Reposition Lumbar Vertebra with Internal Fixation Device, Open Approach [One axis away]
- 0QS104Z — Reposition Sacrum with Internal Fixation Device, Open Approach [One axis away]
- 0QS204Z — Reposition Right Pelvic Bone with Internal Fixation Device, Open Approach [One axis away]
- 0QS304Z — Reposition Left Pelvic Bone with Internal Fixation Device, Open Approach [One axis away]
- 0QS404Z — Reposition Right Acetabulum with Internal Fixation Device, Open Approach [One axis away]
- 0QS504Z — Reposition Left Acetabulum with Internal Fixation Device, Open Approach [One axis away]
- 0QS605Z — Reposition Right Upper Femur with External Fixation Device, Open Approach [One axis away]
- 0QS606Z — Reposition Right Upper Femur with Intramedullary Internal Fixation Device, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.