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Inpatient Procedure Code

0QSB04Z

Reposition Right Lower Femur with Internal Fixation Device, Open Approach

Reposition Right Lower 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.

PositionValueMeaning
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 PartB

Lower 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:

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.

0QS604Z — Reposition Right Upper Femur with Internal Fixation Device, Open Approach, 0QS704Z — Reposition Left Upper Femur with Internal Fixation Device, Open Approach, 0QS804Z — Reposition Right Femoral Shaft with Internal Fixation Device, Open Approach, 0QS904Z — Reposition Left Femoral Shaft with Internal Fixation Device, Open Approach, 0QSC04Z — Reposition Left Lower Femur with Internal Fixation Device, Open Approach, 0QSD04Z — Reposition Right Patella with Internal Fixation Device, Open Approach, 0QSF04Z — Reposition Left Patella with Internal Fixation Device, Open Approach, 0QSG04Z — Reposition Right Tibia with Internal Fixation Device, Open Approach, +16 more

Same operation — other Approach

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

0QSB34Z — Reposition Right Lower Femur with Internal Fixation Device, Percutaneous Approach, 0QSB44Z — Reposition Right Lower Femur with Internal Fixation Device, Percutaneous Endoscopic Approach

Same operation — other Device

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

0QSB05Z — Reposition Right Lower Femur with External Fixation Device, Open Approach, 0QSB06Z — Reposition Right Lower Femur with Intramedullary Internal Fixation Device, Open Approach, 0QSB0BZ — Reposition Right Lower Femur with Monoplanar External Fixation Device, Open Approach, 0QSB0CZ — Reposition Right Lower Femur with Ring External Fixation Device, Open Approach, 0QSB0DZ — Reposition Right Lower Femur with Hybrid External Fixation Device, Open Approach, 0QSB0ZZ — Reposition Right Lower Femur, Open Approach

Contextual Map

Every relationship of 0QSB04Z 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]
  • 0QS604Z — Reposition Right Upper Femur with Internal Fixation Device, Open Approach [One axis away]
  • 0QS704Z — Reposition Left Upper Femur with 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.