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Inpatient Procedure Code

0QW8X4Z ICD-10-PCS Code: Revision of Internal Fixation Device in Right Femoral Shaft, External Approach

Revision of Int Fix in R Femur Shaft, Extern 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 OperationW

Revision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

4
Body Part8

Femoral Shaft, Right

5
ApproachX

External

6
Device4

Internal Fixation Device

7
QualifierZ

No Qualifier

Related Codes

Same operation — other Body Part

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

0QW4X4Z — Revision of Internal Fixation Device in Right Acetabulum, External Approach, 0QW5X4Z — Revision of Internal Fixation Device in Left Acetabulum, External Approach, 0QW6X4Z — Revision of Internal Fixation Device in Right Upper Femur, External Approach, 0QW7X4Z — Revision of Internal Fixation Device in Left Upper Femur, External Approach, 0QW9X4Z — Revision of Internal Fixation Device in Left Femoral Shaft, External Approach, 0QWBX4Z — Revision of Internal Fixation Device in Right Lower Femur, External Approach, 0QWCX4Z — Revision of Internal Fixation Device in Left Lower Femur, External Approach, 0QWDX4Z — Revision of Internal Fixation Device in Right Patella, External Approach, +16 more

Same operation — other Approach

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

0QW804Z — Revision of Internal Fixation Device in Right Femoral Shaft, Open Approach, 0QW834Z — Revision of Internal Fixation Device in Right Femoral Shaft, Percutaneous Approach, 0QW844Z — Revision of Internal Fixation Device in Right Femoral Shaft, Percutaneous Endoscopic Approach

Same operation — other Device

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

0QW8X5Z — Revision of External Fixation Device in Right Femoral Shaft, External Approach, 0QW8X7Z — Revision of Autologous Tissue Substitute in Right Femoral Shaft, External Approach, 0QW8XJZ — Revision of Synthetic Substitute in Right Femoral Shaft, External Approach, 0QW8XKZ — Revision of Nonautologous Tissue Substitute in Right Femoral Shaft, External 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 0QW8X4Z 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

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

Nearest codes

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