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Inpatient Procedure Code

XNSD3GA ICD-10-PCS Code: Reposition Left Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10

Reposition L Lw Femur w Rng Fix Auto Ajst, Perc, New Tech 10

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
SectionX

New Technology

2
Body SystemN

Bones

3
Root OperationS

Reposition

Moving to its normal location, or other suitable location, all or a portion of a body part

4
Body PartD

Lower Femur, Left

5
Approach3

Percutaneous

6
Device / Substance / TechnologyG

Ring External Fixation Device with Automated Strut Adjustment

7
New Technology GroupA

New Technology Group 10

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.

XNS93GA — Reposition Left Ulna with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous 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, XNSB3GA — Reposition Left Upper Femur with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous 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, XNSE3GA — Reposition Right Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, XNSF3GA — Reposition Left Femoral Shaft with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, XNSG3GA — Reposition Right Tibia with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, XNSH3GA — Reposition Left Tibia with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10, +5 more

Same operation — other Approach

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

XNSD0GA — Reposition Left Lower Femur with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10

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.

0QW944Z — Revision of Internal Fixation Device in Left Femoral Shaft, Percutaneous Endoscopic Approach, 0QW945Z — Revision of External Fixation Device in Left Femoral Shaft, Percutaneous Endoscopic Approach, 0QW9X4Z — Revision of Internal Fixation Device in Left Femoral Shaft, External Approach, 0QW9X5Z — Revision of External Fixation Device in Left Femoral Shaft, External Approach, 0QWB04Z — Revision of Internal Fixation Device in Right Lower Femur, Open Approach, 0QWB05Z — Revision of External Fixation Device in Right Lower Femur, Open Approach, 0QWB34Z — Revision of Internal Fixation Device in Right Lower Femur, Percutaneous Approach, 0QWB35Z — Revision of External Fixation Device in Right Lower Femur, Percutaneous Approach, 0QWB44Z — Revision of Internal Fixation Device in Right Lower Femur, Percutaneous Endoscopic Approach, 0QWB45Z — Revision of External Fixation Device in Right Lower Femur, Percutaneous Endoscopic Approach, 0QWBX4Z — Revision of Internal Fixation Device in Right Lower Femur, External Approach, 0QWBX5Z — Revision of External Fixation Device in Right Lower Femur, External Approach, 0QWC04Z — Revision of Internal Fixation Device in Left Lower Femur, Open Approach, 0QWC05Z — Revision of External Fixation Device in Left Lower Femur, Open Approach, 0QWC34Z — Revision of Internal Fixation Device in Left Lower Femur, Percutaneous Approach, 0QWC35Z — Revision of External Fixation Device in Left Lower Femur, Percutaneous Approach, 0QWC44Z — Revision of Internal Fixation Device in Left Lower Femur, Percutaneous Endoscopic Approach, 0QWC45Z — Revision of External Fixation Device in Left Lower Femur, Percutaneous Endoscopic Approach, 0QWCX4Z — Revision of Internal Fixation Device in Left Lower Femur, External Approach, 0QWCX5Z — Revision of External Fixation Device in Left Lower Femur, External Approach, +310 more

Contextual Map

Every relationship of XNSD3GA 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 XNSD3GA with these 5 related codes in Claim Check

PCS table

MS-DRG participation

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 (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

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