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Inpatient Procedure Code

0QWSX4Z ICD-10-PCS Code: Revision of Internal Fixation Device in Coccyx, External Approach

Revision of Int Fix in Coccyx, 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 PartS

Coccyx

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.

0QWJX4Z — Revision of Internal Fixation Device in Right Fibula, External Approach, 0QWKX4Z — Revision of Internal Fixation Device in Left Fibula, External Approach, 0QWLX4Z — Revision of Internal Fixation Device in Right Tarsal, External Approach, 0QWMX4Z — Revision of Internal Fixation Device in Left Tarsal, External Approach, 0QWNX4Z — Revision of Internal Fixation Device in Right Metatarsal, External Approach, 0QWPX4Z — Revision of Internal Fixation Device in Left Metatarsal, External Approach, 0QWQX4Z — Revision of Internal Fixation Device in Right Toe Phalanx, External Approach, 0QWRX4Z — Revision of Internal Fixation Device in Left Toe Phalanx, External 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, 0QWS34Z — Revision of Internal Fixation Device in Coccyx, Percutaneous Approach, 0QWS44Z — Revision of Internal Fixation Device in Coccyx, Percutaneous Endoscopic Approach

Same operation — other Device

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

0QWSX7Z — Revision of Autologous Tissue Substitute in Coccyx, External Approach, 0QWSXJZ — Revision of Synthetic Substitute in Coccyx, External Approach, 0QWSXKZ — Revision of Nonautologous Tissue Substitute in Coccyx, External 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 0QWSX4Z 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)

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