Inpatient Procedure Code

0QSC06Z

Reposition Left Lower Femur with Intramedullary Internal Fixation Device, Open Approach

Reposition Left Lower Femur with Intramed 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 PartC	Lower Femur, Left
5	Approach0	Open
6	Device6	Internal Fixation Device, Intramedullary
7	QualifierZ	No Qualifier

View all codes in this table

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.

Related Codes

Same operation — other Body Part

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

0QS706Z — Reposition Left Upper Femur with Intramedullary Internal Fixation Device, Open Approach, 0QS806Z — Reposition Right Femoral Shaft with Intramedullary Internal Fixation Device, Open Approach, 0QS906Z — Reposition Left Femoral Shaft with Intramedullary Internal Fixation Device, Open Approach, 0QSB06Z — Reposition Right Lower Femur with Intramedullary Internal Fixation Device, Open Approach, 0QSG06Z — Reposition Right Tibia with Intramedullary Internal Fixation Device, Open Approach, 0QSH06Z — Reposition Left Tibia with Intramedullary Internal Fixation Device, Open Approach, 0QSJ06Z — Reposition Right Fibula with Intramedullary Internal Fixation Device, Open Approach, 0QSK06Z — Reposition Left Fibula with Intramedullary Internal Fixation Device, Open Approach, +1 more

Same operation — other Approach

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

0QSC36Z — Reposition Left Lower Femur with Intramedullary Internal Fixation Device, Percutaneous Approach, 0QSC46Z — Reposition Left Lower Femur with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach

Same operation — other Device

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

0QSC04Z — Reposition Left Lower Femur with Internal Fixation Device, Open Approach, 0QSC05Z — Reposition Left Lower Femur with External Fixation Device, Open Approach, 0QSC0BZ — Reposition Left Lower Femur with Monoplanar External Fixation Device, Open Approach, 0QSC0CZ — Reposition Left Lower Femur with Ring External Fixation Device, Open Approach, 0QSC0DZ — Reposition Left Lower Femur with Hybrid External Fixation Device, Open Approach, 0QSC0ZZ — Reposition Left Lower Femur, Open Approach

Contextual Map

Every relationship of 0QSC06Z 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

0QS606Z — Reposition Right Upper Femur with Intramedullary Internal Fixation Device, Open Approach [One axis away]
0QS706Z — Reposition Left Upper Femur with Intramedullary Internal Fixation Device, Open Approach [One axis away]
0QS806Z — Reposition Right Femoral Shaft with Intramedullary Internal Fixation Device, Open Approach [One axis away]
0QS906Z — Reposition Left Femoral Shaft with Intramedullary Internal Fixation Device, Open Approach [One axis away]
0QSB06Z — Reposition Right Lower Femur with Intramedullary Internal Fixation Device, Open Approach [One axis away]
0QSC04Z — Reposition Left Lower Femur with Internal Fixation Device, Open Approach [One axis away]
0QSC05Z — Reposition Left Lower Femur with External Fixation Device, Open Approach [One axis away]
0QSC0BZ — Reposition Left Lower Femur with Monoplanar External 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.