0QW604Z ICD-10-PCS Code: Revision of Internal Fixation Device in Right Upper Femur, Open Approach
Revision of Int Fix in R Up Femur, 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 OperationW | Revision Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device |
| 4 | Body Part6 | Upper Femur, Right |
| 5 | Approach0 | Open |
| 6 | Device4 | Internal Fixation Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
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 2 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.
0QW204Z — Revision of Internal Fixation Device in Right Pelvic Bone, Open Approach, 0QW304Z — Revision of Internal Fixation Device in Left Pelvic Bone, Open Approach, 0QW404Z — Revision of Internal Fixation Device in Right Acetabulum, Open Approach, 0QW504Z — Revision of Internal Fixation Device in Left Acetabulum, Open Approach, 0QW704Z — Revision of Internal Fixation Device in Left Upper Femur, Open Approach, 0QW804Z — Revision of Internal Fixation Device in Right Femoral Shaft, Open Approach, 0QW904Z — Revision of Internal Fixation Device in Left Femoral Shaft, Open Approach, 0QWB04Z — Revision of Internal Fixation Device in Right Lower Femur, Open Approach, +16 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0QW634Z — Revision of Internal Fixation Device in Right Upper Femur, Percutaneous Approach, 0QW644Z — Revision of Internal Fixation Device in Right Upper Femur, Percutaneous Endoscopic Approach, 0QW6X4Z — Revision of Internal Fixation Device in Right Upper Femur, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0QW605Z — Revision of External Fixation Device in Right Upper Femur, Open Approach, 0QW607Z — Revision of Autologous Tissue Substitute in Right Upper Femur, Open Approach, 0QW60JZ — Revision of Synthetic Substitute in Right Upper Femur, Open Approach, 0QW60KZ — Revision of Nonautologous Tissue Substitute in Right Upper Femur, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Femur fixation (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.
0QSC3CZ — Reposition Left Lower Femur with Ring External Fixation Device, Percutaneous Approach, 0QSC3DZ — Reposition Left Lower Femur with Hybrid External Fixation Device, Percutaneous Approach, 0QSC3ZZ — Reposition Left Lower Femur, Percutaneous Approach, 0QSC44Z — Reposition Left Lower Femur with Internal Fixation Device, Percutaneous Endoscopic Approach, 0QSC45Z — Reposition Left Lower Femur with External Fixation Device, Percutaneous Endoscopic Approach, 0QSC46Z — Reposition Left Lower Femur with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach, 0QSC4BZ — Reposition Left Lower Femur with Monoplanar External Fixation Device, Percutaneous Endoscopic Approach, 0QSC4CZ — Reposition Left Lower Femur with Ring External Fixation Device, Percutaneous Endoscopic Approach, 0QSC4DZ — Reposition Left Lower Femur with Hybrid External Fixation Device, Percutaneous Endoscopic Approach, 0QSC4ZZ — Reposition Left Lower Femur, Percutaneous Endoscopic Approach, XNSA0GA — Reposition Right Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10, XNSA3GA — Reposition Right Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, XNSB0GA — Reposition Left Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10, XNSB3GA — Reposition Left Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, XNSC0GA — Reposition Right Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10, XNSC3GA — Reposition Right Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, XNSD0GA — Reposition Left Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10, XNSD3GA — Reposition Left Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, XNSE0GA — Reposition Right Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10, XNSE3GA — Reposition Right Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, +274 more
Contextual Map
Every relationship of 0QW604Z 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 0QW604Z with these 5 related codes in Claim Check
PCS table
- 0QW[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Bones — Body System: Lower Bones[Body System]: “Lower Bones”— CMS ICD-10-PCS tables
- Revision — Operation: Revision[Operation]: “Revision”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 498 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC — Local Excision and Removal of Internal Fixation Devices of Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 499 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices of Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- MST010 — Femur fixation[CCSR category]: “Femur fixation — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (25341)
- 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 · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- and 25336 more
Nearest codes
- 0QW004Z — Revision of Internal Fixation Device in Lumbar Vertebra, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW104Z — Revision of Internal Fixation Device in Sacrum, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW204Z — Revision of Internal Fixation Device in Right Pelvic Bone, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW304Z — Revision of Internal Fixation Device in Left Pelvic Bone, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW404Z — Revision of Internal Fixation Device in Right Acetabulum, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW504Z — Revision of Internal Fixation Device in Left Acetabulum, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW605Z — Revision of External Fixation Device in Right Upper Femur, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW607Z — Revision of Autologous Tissue Substitute in Right Upper Femur, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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