ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0QB6 includes procedures performed to excise portions of bone in the upper femur. These ICD-10-PCS codes are used for inpatient documentation when a portion of the proximal femur is surgically removed without replacement due to disease, injury, or other pathology. Accurate coding within the ICD-10-PCS 0QB6 group is essential for proper inpatient reimbursement, as it captures the procedure performed and the specific anatomical site treated.

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Upper Femur Excision Procedure Overview

This group includes excision procedures that remove a portion of the upper femur and target the lower bones body system. These procedures involve cutting out or off diseased, damaged, or abnormal bone tissue from the proximal femur without replacement. Accurate coding of these excisions is important for inpatient reimbursement because it documents the specific surgical action and anatomical site treated, supporting correct case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
B	Operation	Excision
6	Body Part	Upper Femur, Right

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ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

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Upper Femur Excision Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
B	Operation	Excision
6	Body Part	Upper Femur, Right

When to Use

Use these codes when a surgeon excises part of the upper femur (proximal femur) and does not implant a prosthesis or other replacement. Do not use this group for procedures that involve removal plus immediate replacement or reconstruction of the femur.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0QB60ZX	Excision of Right Upper Femur, Open Approach, Diagnostic
0QB60ZZ	Excision of Right Upper Femur, Open Approach
0QB63ZX	Excision of Right Upper Femur, Percutaneous Approach, Diagnostic
0QB63ZZ	Excision of Right Upper Femur, Percutaneous Approach
0QB64ZX	Excision of Right Upper Femur, Percutaneous Endoscopic Approach, Diagnostic
0QB64ZZ	Excision of Right Upper Femur, Percutaneous Endoscopic Approach

DRG Codes

27 rows

DRG Code	Description
477	Biopsies of Musculoskeletal System and Connective Tissue with MCC
478	Biopsies of Musculoskeletal System and Connective Tissue with CC
479	Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC
498	Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC
499	Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC

Showing 1–10 of 27

Typical Clinical Scenarios

An elderly patient with severe osteolytic metastatic disease of the proximal right femur presents with progressive pain, pathologic fracture risk, and declining mobility; they are admitted for pain control and to prevent imminent fracture by removing the diseased proximal femoral bone without implanting a prosthesis when fixation is not feasible. A surgeon performs an open excision of the affected right upper femur to remove tumor-infiltrated bone and obtain tissue for diagnosis and palliation. Typical codes: 0QB60ZZ, 0QB60ZX
A middle-aged patient sustains a high-energy traumatic comminuted fracture of the right proximal femur in a motor vehicle collision and is hemodynamically stable but has nonviable bone fragments; inpatient management includes surgical debridement and excision of irreparably damaged proximal femoral bone to control hemorrhage and facilitate later reconstruction or staged care. Because the procedure removes a portion of the upper femur without immediate replacement and is performed through a percutaneous-assisted technique, a percutaneous approach code is appropriate. Typical codes: 0QB63ZZ, 0QB63ZX
A patient with osteomyelitis of the right proximal femur fails prolonged antibiotic therapy and presents with persistent sepsis and a draining sinus; they are admitted for source control and undergo endoscopic-assisted debridement and excision of infected proximal femoral bone to remove necrotic tissue and reduce bacterial load prior to reconstruction. The minimally invasive endoscopic approach for diagnostic sampling and excision fits the percutaneous endoscopic codes in this group. Typical codes: 0QB64ZX, 0QB64ZZ

Related Codes

0QB0-LUMBAR-VERTEBRA-EXCISION

ICD-10-PCS Code For Lumbar Vertebra: Procedure Code Group Overview

0QB1-SACRUM-CUTTING-OUT-OR-OFF-SACRUM-EXCISION

ICD-10-PCS Code for Sacrum: Procedure Code Group Overview

0QB2-PELVIC-BONE-RIGHT-EXCISION

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0QB3-PELVIC-BONE-LEFT-EXCISION

ICD-10-PCS Code For Pelvic Bone Left: Procedure Code Group Overview

0QB4-ACETABULUM-RIGHT-EXCISION

ICD-10-PCS Code For Acetabulum Right: Procedure Code Group Overview

0QB5-LEFT-ACETABULUM-EXCISION

ICD-10-PCS Code For Acetabulum, Left: Procedure Code Group Overview

0QB7-LEFT-UPPER-FEMUR-EXCISION

ICD-10-PCS Code For Upper Femur, Left: Procedure Code Group Overview

0QB8-FEMORAL-SHAFT-RIGHT-EXCISION

ICD-10-PCS Code For Femoral Shaft Right: Procedure Code Group Overview

0QB9-LEFT-FEMORAL-SHAFT-EXCISION

ICD-10-PCS Code For Femoral Shaft, Left: Procedure Code Group Overview

0QBB-LOWER-FEMUR-RIGHT-EXCISION

ICD-10-PCS Code For Lower Femur Right: Procedure Code Group Overview

Showing 1–10 of 24

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0QB60ZX	Excision of Right Upper Femur, Open Approach, Diagnostic
0QB60ZZ	Excision of Right Upper Femur, Open Approach
0QB63ZX	Excision of Right Upper Femur, Percutaneous Approach, Diagnostic
0QB63ZZ	Excision of Right Upper Femur, Percutaneous Approach
0QB64ZX	Excision of Right Upper Femur, Percutaneous Endoscopic Approach, Diagnostic
0QB64ZZ	Excision of Right Upper Femur, Percutaneous Endoscopic Approach

DRG Codes

27 rows

DRG Code	Description
477	Biopsies of Musculoskeletal System and Connective Tissue with MCC
478	Biopsies of Musculoskeletal System and Connective Tissue with CC
479	Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC
498	Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC
499	Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC

Showing 1–10 of 27

Typical Clinical Scenarios

An elderly patient with severe osteolytic metastatic disease of the proximal right femur presents with progressive pain, pathologic fracture risk, and declining mobility; they are admitted for pain control and to prevent imminent fracture by removing the diseased proximal femoral bone without implanting a prosthesis when fixation is not feasible. A surgeon performs an open excision of the affected right upper femur to remove tumor-infiltrated bone and obtain tissue for diagnosis and palliation. Typical codes: 0QB60ZZ, 0QB60ZX
A middle-aged patient sustains a high-energy traumatic comminuted fracture of the right proximal femur in a motor vehicle collision and is hemodynamically stable but has nonviable bone fragments; inpatient management includes surgical debridement and excision of irreparably damaged proximal femoral bone to control hemorrhage and facilitate later reconstruction or staged care. Because the procedure removes a portion of the upper femur without immediate replacement and is performed through a percutaneous-assisted technique, a percutaneous approach code is appropriate. Typical codes: 0QB63ZZ, 0QB63ZX
A patient with osteomyelitis of the right proximal femur fails prolonged antibiotic therapy and presents with persistent sepsis and a draining sinus; they are admitted for source control and undergo endoscopic-assisted debridement and excision of infected proximal femoral bone to remove necrotic tissue and reduce bacterial load prior to reconstruction. The minimally invasive endoscopic approach for diagnostic sampling and excision fits the percutaneous endoscopic codes in this group. Typical codes: 0QB64ZX, 0QB64ZZ

Related Codes

0QB0-LUMBAR-VERTEBRA-EXCISION

ICD-10-PCS Code For Lumbar Vertebra: Procedure Code Group Overview

0QB1-SACRUM-CUTTING-OUT-OR-OFF-SACRUM-EXCISION

ICD-10-PCS Code for Sacrum: Procedure Code Group Overview

0QB2-PELVIC-BONE-RIGHT-EXCISION

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0QB3-PELVIC-BONE-LEFT-EXCISION

ICD-10-PCS Code For Pelvic Bone Left: Procedure Code Group Overview

0QB4-ACETABULUM-RIGHT-EXCISION

ICD-10-PCS Code For Acetabulum Right: Procedure Code Group Overview

0QB5-LEFT-ACETABULUM-EXCISION

ICD-10-PCS Code For Acetabulum, Left: Procedure Code Group Overview

0QB7-LEFT-UPPER-FEMUR-EXCISION

ICD-10-PCS Code For Upper Femur, Left: Procedure Code Group Overview

0QB8-FEMORAL-SHAFT-RIGHT-EXCISION

ICD-10-PCS Code For Femoral Shaft Right: Procedure Code Group Overview

0QB9-LEFT-FEMORAL-SHAFT-EXCISION

ICD-10-PCS Code For Femoral Shaft, Left: Procedure Code Group Overview

0QBB-LOWER-FEMUR-RIGHT-EXCISION

ICD-10-PCS Code For Lower Femur Right: Procedure Code Group Overview

Showing 1–10 of 24

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview policy alerts

Upper Femur Excision Procedure Overview

Code Attributes

ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Femur: Procedure Code Group Overview policy alerts

Upper Femur Excision Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0QB6 represent?

What specific body part and laterality are captured by codes in this group?

What ICD-10-PCS codes are included in the 0QB6 group and how do approach and diagnostic descriptors vary?

Why is accurate coding within ICD-10-PCS 0QB6 important for inpatient reimbursement?

Which DRG categories might relate to procedures coded in the 0QB6 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0QB6 represent?

What specific body part and laterality are captured by codes in this group?

What ICD-10-PCS codes are included in the 0QB6 group and how do approach and diagnostic descriptors vary?

Why is accurate coding within ICD-10-PCS 0QB6 important for inpatient reimbursement?

Which DRG categories might relate to procedures coded in the 0QB6 group?

References