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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0QS9 includes procedures performed to reposition structures in the left femoral shaft. These ICD-10-PCS codes are used for inpatient documentation when a clinician corrects the alignment or location of the left femoral shaft due to fracture displacement, malunion, or other deformity. Accurate coding within the ICD-10-PCS 0QS9 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Femoral Shaft, Left Reposition Procedure Overview

This procedure group covers repositioning procedures performed on the left femoral shaft within the lower bones body system. These procedures involve moving all or part of the femoral shaft back to its normal or a more suitable anatomical location. Accurate ICD-10-PCS coding ensures inpatient records reflect the specific repositioning performed and supports appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
S	Operation	Reposition
9	Body Part	Femoral Shaft, Left

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

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Femoral Shaft, Left Reposition Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
S	Operation	Reposition
9	Body Part	Femoral Shaft, Left

When to Use

Use a code from this group when a clinician performs a procedure to correct displacement or malalignment of the left femoral shaft by moving the bone back into an appropriate anatomical position. These codes apply when the primary intent of the inpatient procedure is repositioning rather than fixation alone or replacement.

ICD-10-PCS Codes

22 rows

ICD-10-PCS Code	Description
0QS904Z	Reposition Left Femoral Shaft with Internal Fixation Device, Open Approach
0QS905Z	Reposition Left Femoral Shaft with External Fixation Device, Open Approach
0QS906Z	Reposition Left Femoral Shaft with Intramedullary Internal Fixation Device, Open Approach
0QS90BZ	Reposition Left Femoral Shaft with Monoplanar External Fixation Device, Open Approach
0QS90CZ	Reposition Left Femoral Shaft with Ring External Fixation Device, Open Approach
0QS90DZ	Reposition Left Femoral Shaft with Hybrid External Fixation Device, Open Approach
0QS90ZZ	Reposition Left Femoral Shaft, Open Approach
0QS934Z	Reposition Left Femoral Shaft with Internal Fixation Device, Percutaneous Approach
0QS935Z	Reposition Left Femoral Shaft with External Fixation Device, Percutaneous Approach
0QS936Z	Reposition Left Femoral Shaft with Intramedullary Internal Fixation Device, Percutaneous Approach

Showing 1–10 of 22

DRG Codes

10 rows

DRG Code	Description
480	Hip and Femur Procedures Except Major Joint with MCC
481	Hip and Femur Procedures Except Major Joint with CC
482	Hip and Femur Procedures Except Major Joint 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
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
956	Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

Typical Clinical Scenarios

An adult patient presents to the emergency department after a high-energy motor vehicle collision with an open, displaced midshaft fracture of the left femur causing gross deformity and neurovascularly intact extremity. Urgent operative management is required to restore alignment; the surgical team performs an open reposition of the left femoral shaft with placement of an intramedullary internal fixation device to achieve and maintain reduction. The inpatient procedure is performed because the primary intent is to reposition the femoral shaft and secure alignment for healing. Typical codes: 0QS904Z, 0QS906Z
A middle-aged patient with a healed but malunited left femoral shaft fracture experiences chronic leg-length discrepancy and altered gait after conservative treatment. As a planned inpatient orthopedic procedure, the surgeon performs a percutaneous reposition of the left femoral shaft with intramedullary internal fixation to correct malalignment and restore proper limb mechanics. The procedure is elective and focused on repositioning the shaft prior to definitive stabilization. Typical codes: 0QS934Z, 0QS936Z
A patient with a prior external fixation for a comminuted left femoral shaft fracture develops persistent displacement and nonunion after initial management. During the inpatient revision, the surgical team performs an open reposition of the left femoral shaft and converts to internal fixation to reestablish alignment and promote union. The case is a complication/revision addressing failed prior fixation and malalignment. Typical codes: 0QS904Z, 0QS90DZ

Related Codes

0QS0-LUMBAR-VERTEBRA-REPOSITION

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

0QS1-SACRUM-REPOSITION

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

0QS2-PELVIC-BONE-RIGHT-REPOSITION

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

0QS3-LEFT-PELVIC-BONE-REPOSITION

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

0QS4-ACETABULUM-REPOSITION

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

0QS5-LEFT-ACETABULUM-REPOSITION

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

0QS6-UPPER-FEMUR-RIGHT-REPOSITION

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

0QS7-UPPER-FEMUR-LEFT-REPOSITION

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

0QS8-FEMORAL-SHAFT-REPOSITION

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

0QSB-LOWER-FEMUR-REPOSITION

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

22 rows

ICD-10-PCS Code	Description
0QS904Z	Reposition Left Femoral Shaft with Internal Fixation Device, Open Approach
0QS905Z	Reposition Left Femoral Shaft with External Fixation Device, Open Approach
0QS906Z	Reposition Left Femoral Shaft with Intramedullary Internal Fixation Device, Open Approach
0QS90BZ	Reposition Left Femoral Shaft with Monoplanar External Fixation Device, Open Approach
0QS90CZ	Reposition Left Femoral Shaft with Ring External Fixation Device, Open Approach
0QS90DZ	Reposition Left Femoral Shaft with Hybrid External Fixation Device, Open Approach
0QS90ZZ	Reposition Left Femoral Shaft, Open Approach
0QS934Z	Reposition Left Femoral Shaft with Internal Fixation Device, Percutaneous Approach
0QS935Z	Reposition Left Femoral Shaft with External Fixation Device, Percutaneous Approach
0QS936Z	Reposition Left Femoral Shaft with Intramedullary Internal Fixation Device, Percutaneous Approach

Showing 1–10 of 22

DRG Codes

10 rows

DRG Code	Description
480	Hip and Femur Procedures Except Major Joint with MCC
481	Hip and Femur Procedures Except Major Joint with CC
482	Hip and Femur Procedures Except Major Joint 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
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
956	Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

Typical Clinical Scenarios

An adult patient presents to the emergency department after a high-energy motor vehicle collision with an open, displaced midshaft fracture of the left femur causing gross deformity and neurovascularly intact extremity. Urgent operative management is required to restore alignment; the surgical team performs an open reposition of the left femoral shaft with placement of an intramedullary internal fixation device to achieve and maintain reduction. The inpatient procedure is performed because the primary intent is to reposition the femoral shaft and secure alignment for healing. Typical codes: 0QS904Z, 0QS906Z
A middle-aged patient with a healed but malunited left femoral shaft fracture experiences chronic leg-length discrepancy and altered gait after conservative treatment. As a planned inpatient orthopedic procedure, the surgeon performs a percutaneous reposition of the left femoral shaft with intramedullary internal fixation to correct malalignment and restore proper limb mechanics. The procedure is elective and focused on repositioning the shaft prior to definitive stabilization. Typical codes: 0QS934Z, 0QS936Z
A patient with a prior external fixation for a comminuted left femoral shaft fracture develops persistent displacement and nonunion after initial management. During the inpatient revision, the surgical team performs an open reposition of the left femoral shaft and converts to internal fixation to reestablish alignment and promote union. The case is a complication/revision addressing failed prior fixation and malalignment. Typical codes: 0QS904Z, 0QS90DZ

Related Codes

0QS0-LUMBAR-VERTEBRA-REPOSITION

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

0QS1-SACRUM-REPOSITION

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

0QS2-PELVIC-BONE-RIGHT-REPOSITION

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

0QS3-LEFT-PELVIC-BONE-REPOSITION

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

0QS4-ACETABULUM-REPOSITION

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

0QS5-LEFT-ACETABULUM-REPOSITION

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

0QS6-UPPER-FEMUR-RIGHT-REPOSITION

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

0QS7-UPPER-FEMUR-LEFT-REPOSITION

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

0QS8-FEMORAL-SHAFT-REPOSITION

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

0QSB-LOWER-FEMUR-REPOSITION

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 Femoral Shaft, Left: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Femoral Shaft, Left: Procedure Code Group Overview policy alerts

Femoral Shaft, Left Reposition Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Femoral Shaft, Left: Procedure Code Group Overview policy alerts

Femoral Shaft, Left Reposition 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 0QS9 describe?

When should coders use codes from the 0QS9 group in inpatient documentation?

What approach and fixation device options are captured within the 0QS9 code list?

How do 0QS9 procedure codes relate to DRG assignment?

What specific codes identify reposition of the left femoral shaft with intramedullary internal fixation?

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 0QS9 describe?

When should coders use codes from the 0QS9 group in inpatient documentation?

What approach and fixation device options are captured within the 0QS9 code list?

How do 0QS9 procedure codes relate to DRG assignment?

What specific codes identify reposition of the left femoral shaft with intramedullary internal fixation?

References