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Inpatient Procedure Code

0QSP042 ICD-10-PCS Code: Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Open Approach

Reposition L Metatarsal, Sesamd Bn, w Int Fix, Open

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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 PartP

Metatarsal, Left

5
Approach0

Open

6
Device4

Internal Fixation Device

7
Qualifier2

Sesamoid Bone(s) 1st Toe

MS-DRG Grouper Relationships (FY2027)

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.

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

Same operation — other Approach

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

0QSP342 — Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Percutaneous Approach, 0QSP442 — Reposition Left 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.

0QSP052 — Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with External Fixation Device, Open Approach, 0QSP0Z2 — Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, Open Approach

Same operation — other Qualifier

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

0QSP04Z — Reposition Left Metatarsal with Internal Fixation Device, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Fixation of leg and foot bones (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.

0QPQX4Z — Removal of Internal Fixation Device from Right Toe Phalanx, External Approach, 0QPQX5Z — Removal of External Fixation Device from Right Toe Phalanx, External Approach, 0QPR04Z — Removal of Internal Fixation Device from Left Toe Phalanx, Open Approach, 0QPR05Z — Removal of External Fixation Device from Left Toe Phalanx, Open Approach, 0QPR34Z — Removal of Internal Fixation Device from Left Toe Phalanx, Percutaneous Approach, 0QPR35Z — Removal of External Fixation Device from Left Toe Phalanx, Percutaneous Approach, 0QPR44Z — Removal of Internal Fixation Device from Left Toe Phalanx, Percutaneous Endoscopic Approach, 0QPR45Z — Removal of External Fixation Device from Left Toe Phalanx, Percutaneous Endoscopic Approach, 0QPRX4Z — Removal of Internal Fixation Device from Left Toe Phalanx, External Approach, 0QPRX5Z — Removal of External Fixation Device from Left Toe Phalanx, External Approach, 0QWD04Z — Revision of Internal Fixation Device in Right Patella, Open Approach, 0QWD05Z — Revision of External Fixation Device in Right Patella, Open Approach, 0QWD34Z — Revision of Internal Fixation Device in Right Patella, Percutaneous Approach, 0QWD35Z — Revision of External Fixation Device in Right Patella, Percutaneous Approach, 0QWD44Z — Revision of Internal Fixation Device in Right Patella, Percutaneous Endoscopic Approach, 0QWD45Z — Revision of External Fixation Device in Right Patella, Percutaneous Endoscopic Approach, 0QWDX4Z — Revision of Internal Fixation Device in Right Patella, External Approach, 0QWDX5Z — Revision of External Fixation Device in Right Patella, External Approach, 0QWF04Z — Revision of Internal Fixation Device in Left Patella, Open Approach, 0QWF05Z — Revision of External Fixation Device in Left Patella, Open Approach, +296 more

Contextual Map

Every relationship of 0QSP042 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 0QSP042 with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

  • MST011 — Fixation of leg and foot bones[CCSR category]: “Fixation of leg and foot bones — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (40518)

  • 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 · FY2027
  • 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 · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • and 40513 more

Nearest codes

Change history

Change history

  • FY2018 — October 1, 2017
    Added to the code set
    Reposition Left Metatarsal, Sesamoid Bone(s) 1st Toe, with Internal Fixation Device, Open Approach
    FY2018 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources