0QSN342ICD-10-PCS Code: Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Percutaneous Approach

MS-DRG Grouper Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:

• MDC 08 — Foot Procedures: DRG 503, DRG 504, DRG 505
• MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
• MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959

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.

0QSP342 — Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Percutaneous Approach

Same operation — other Approach

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

0QSN042 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Open Approach, 0QSN442 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Percutaneous Endoscopic Approach

Same operation — other Device

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

0QSN352 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Percutaneous Approach, 0QSN3Z2 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, Percutaneous Approach

Same operation — other Qualifier

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

0QSN34Z — Reposition Right Metatarsal with Internal Fixation Device, Percutaneous Approach

Contextual Map

Every relationship of 0QSN342 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]
• Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
• Lower Bones — Body System: Lower Bones [Body System]: “Lower Bones”
• Reposition — Operation: Reposition [Operation]: “Reposition”

MS-DRG participation (9)

• DRG 503 — FOOT PROCEDURES WITH MCC [MS-DRG]: “FOOT PROCEDURES WITH MCC — Foot Procedures (MDC 08)”
• DRG 504 — FOOT PROCEDURES WITH CC [MS-DRG]: “FOOT PROCEDURES WITH CC — Foot Procedures (MDC 08)”
• DRG 505 — FOOT PROCEDURES WITHOUT CC/MCC [MS-DRG]: “FOOT PROCEDURES WITHOUT CC/MCC — Foot Procedures (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 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
• DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
• and 1 more

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 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 40458 more

Nearest codes

• 0QSN042 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Open Approach [One axis away]
• 0QSN34Z — Reposition Right Metatarsal with Internal Fixation Device, Percutaneous Approach [One axis away]
• 0QSN352 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Percutaneous Approach [One axis away]
• 0QSN3Z2 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, Percutaneous Approach [One axis away]
• 0QSN442 — Reposition Right Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Percutaneous Endoscopic Approach [One axis away]
• 0QSP342 — Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Percutaneous Approach [One axis away]