0QWS34Z ICD-10-PCS Code: Revision of Internal Fixation Device in Coccyx, Percutaneous Approach
Revision of Int Fix in Coccyx, Perc 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 PartS | Coccyx |
| 5 | Approach3 | Percutaneous |
| 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 3 MS-DRGs:
- MDC 08 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
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.
0QWJ34Z — Revision of Internal Fixation Device in Right Fibula, Percutaneous Approach, 0QWK34Z — Revision of Internal Fixation Device in Left Fibula, Percutaneous Approach, 0QWL34Z — Revision of Internal Fixation Device in Right Tarsal, Percutaneous Approach, 0QWM34Z — Revision of Internal Fixation Device in Left Tarsal, Percutaneous Approach, 0QWN34Z — Revision of Internal Fixation Device in Right Metatarsal, Percutaneous Approach, 0QWP34Z — Revision of Internal Fixation Device in Left Metatarsal, Percutaneous Approach, 0QWQ34Z — Revision of Internal Fixation Device in Right Toe Phalanx, Percutaneous Approach, 0QWR34Z — Revision of Internal Fixation Device in Left Toe Phalanx, Percutaneous Approach, +16 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0QWS04Z — Revision of Internal Fixation Device in Coccyx, Open Approach, 0QWS44Z — Revision of Internal Fixation Device in Coccyx, Percutaneous Endoscopic Approach, 0QWSX4Z — Revision of Internal Fixation Device in Coccyx, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0QWS37Z — Revision of Autologous Tissue Substitute in Coccyx, Percutaneous Approach, 0QWS3JZ — Revision of Synthetic Substitute in Coccyx, Percutaneous Approach, 0QWS3KZ — Revision of Nonautologous Tissue Substitute in Coccyx, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone fixation (excluding extremities) (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.
0QS534Z — Reposition Left Acetabulum with Internal Fixation Device, Percutaneous Approach, 0QS53ZZ — Reposition Left Acetabulum, Percutaneous Approach, 0QS544Z — Reposition Left Acetabulum with Internal Fixation Device, Percutaneous Endoscopic Approach, 0QS54ZZ — Reposition Left Acetabulum, Percutaneous Endoscopic Approach, 0QSS04Z — Reposition Coccyx with Internal Fixation Device, Open Approach, 0QSS0ZZ — Reposition Coccyx, Open Approach, 0QSS34Z — Reposition Coccyx with Internal Fixation Device, Percutaneous Approach, 0QSS3ZZ — Reposition Coccyx, Percutaneous Approach, 0QSS44Z — Reposition Coccyx with Internal Fixation Device, Percutaneous Endoscopic Approach, 0QSS4ZZ — Reposition Coccyx, Percutaneous Endoscopic Approach, XNH6058 — Insertion of Internal Fixation Device with Tulip Connector into Right Pelvic Bone, Open Approach, New Technology Group 8, XNH60HB — Insertion of Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device into Right Pelvic Bone, Open Approach, New Technology Group 11, XNH6358 — Insertion of Internal Fixation Device with Tulip Connector into Right Pelvic Bone, Percutaneous Approach, New Technology Group 8, XNH63HB — Insertion of Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device into Right Pelvic Bone, Percutaneous Approach, New Technology Group 11, XNH7058 — Insertion of Internal Fixation Device with Tulip Connector into Left Pelvic Bone, Open Approach, New Technology Group 8, XNH70HB — Insertion of Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device into Left Pelvic Bone, Open Approach, New Technology Group 11, XNH7358 — Insertion of Internal Fixation Device with Tulip Connector into Left Pelvic Bone, Percutaneous Approach, New Technology Group 8, XNH73HB — Insertion of Bone-Density-Specific Thread and Porosity Pattern Internal Fixation Device into Left Pelvic Bone, Percutaneous Approach, New Technology Group 11, XNS0032 — Reposition of Lumbar Vertebra using Magnetically Controlled Growth Rod(s), Open Approach, New Technology Group 2, XNS00C7 — Reposition of Lumbar Vertebra using Posterior (Dynamic) Distraction Device, Open Approach, New Technology Group 7, +522 more
Contextual Map
Every relationship of 0QWS34Z 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 0QWS34Z 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 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 496 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- MST012 — Bone fixation (excluding extremities)[CCSR category]: “Bone fixation (excluding extremities) — 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
- 0QW034Z — Revision of Internal Fixation Device in Lumbar Vertebra, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW134Z — Revision of Internal Fixation Device in Sacrum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW234Z — Revision of Internal Fixation Device in Right Pelvic Bone, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW334Z — Revision of Internal Fixation Device in Left Pelvic Bone, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW434Z — Revision of Internal Fixation Device in Right Acetabulum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW534Z — Revision of Internal Fixation Device in Left Acetabulum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW634Z — Revision of Internal Fixation Device in Right Upper Femur, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0QW734Z — Revision of Internal Fixation Device in Left Upper Femur, Percutaneous 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