0SH905Z ICD-10-PCS Code: Insertion of External Fixation Device into Right Hip Joint, Open Approach

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 7 MS-DRGs:

• MDC 08 — Hip and Femur Procedures Except Major Joint: DRG 480, DRG 481, DRG 482
• MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
• MDC 24 — Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma: DRG 956

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.

0SHB05Z — Insertion of External Fixation Device into Left Hip Joint, Open Approach, 0SHC05Z — Insertion of External Fixation Device into Right Knee Joint, Open Approach, 0SHD05Z — Insertion of External Fixation Device into Left Knee Joint, Open Approach, 0SHF05Z — Insertion of External Fixation Device into Right Ankle Joint, Open Approach, 0SHG05Z — Insertion of External Fixation Device into Left Ankle Joint, Open Approach, 0SHH05Z — Insertion of External Fixation Device into Right Tarsal Joint, Open Approach, 0SHJ05Z — Insertion of External Fixation Device into Left Tarsal Joint, Open Approach, 0SHK05Z — Insertion of External Fixation Device into Right Tarsometatarsal Joint, Open Approach, +5 more

Same operation — other Approach

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

0SH935Z — Insertion of External Fixation Device into Right Hip Joint, Percutaneous Approach, 0SH945Z — Insertion of External Fixation Device into Right Hip Joint, Percutaneous Endoscopic Approach

Same operation — other Device

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

0SH903Z — Insertion of Infusion Device into Right Hip Joint, Open Approach, 0SH904Z — Insertion of Internal Fixation Device into Right Hip Joint, Open Approach, 0SH908Z — Insertion of Spacer into Right Hip Joint, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Joint fusion (excluding spine) (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.

+1594 more

Contextual Map

Every relationship of 0SH905Z 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 0SH905Z with these 5 related codes in Claim Check

PCS table

• 0SH[PCS table]— CMS ICD-10-PCS tables
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
• Lower Joints — Body System: Lower Joints[Body System]: “Lower Joints”— CMS ICD-10-PCS tables
• Insertion — Operation: Insertion[Operation]: “Insertion”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 480 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — Hip and Femur Procedures Except Major Joint (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 481 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC — Hip and Femur Procedures Except Major Joint (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 482 — HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC[MS-DRG]: “HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC — Hip and Femur Procedures Except Major Joint (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 956 — LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA[MS-DRG]: “LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA — Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• MST014 — Joint fusion (excluding spine)[CCSR category]: “Joint fusion (excluding spine) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (40463)

• 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
• 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 · 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 40458 more

Nearest codes

• 0SH903Z — Insertion of Infusion Device into Right Hip Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0SH904Z — Insertion of Internal Fixation Device into Right Hip Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0SH908Z — Insertion of Spacer into Right Hip Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0SH935Z — Insertion of External Fixation Device into Right Hip Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0SH945Z — Insertion of External Fixation Device into Right Hip Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0SHB05Z — Insertion of External Fixation Device into Left Hip Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0SHC05Z — Insertion of External Fixation Device into Right Knee Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0SHD05Z — Insertion of External Fixation Device into Left Knee Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables