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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0QSB includes procedures performed to reposition bone structures in the lower femur, right. These ICD-10-PCS codes are used for inpatient documentation when a portion of the lower femur requires repositioning to restore normal alignment or relocate it to a more suitable anatomical position. Accurate coding within the ICD-10-PCS 0QSB group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Lower Femur Reposition Procedure Overview

This procedure group includes inpatient repositioning procedures that move all or a portion of the lower femur back to its normal or a more suitable location. These procedures target the lower bones body system and specifically the lower femur on the right side. Accurate ICD-10-PCS coding ensures the clinical action is properly documented for inpatient records and supports correct reimbursement determinations.

Code Attributes

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

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

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Lower Femur 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
B	Body Part	Lower Femur, Right

When to Use

Use codes from this group when an inpatient procedure involves repositioning the lower femur on the right side to correct malalignment or displacement. These codes apply when the procedure’s primary intent is to move bone to restore or improve anatomical alignment.

ICD-10-PCS Codes

22 rows

ICD-10-PCS Code	Description
0QSB04Z	Reposition Right Lower Femur with Internal Fixation Device, Open Approach
0QSB05Z	Reposition Right Lower Femur with External Fixation Device, Open Approach
0QSB06Z	Reposition Right Lower Femur with Intramedullary Internal Fixation Device, Open Approach
0QSB0BZ	Reposition Right Lower Femur with Monoplanar External Fixation Device, Open Approach
0QSB0CZ	Reposition Right Lower Femur with Ring External Fixation Device, Open Approach
0QSB0DZ	Reposition Right Lower Femur with Hybrid External Fixation Device, Open Approach
0QSB0ZZ	Reposition Right Lower Femur, Open Approach
0QSB34Z	Reposition Right Lower Femur with Internal Fixation Device, Percutaneous Approach
0QSB35Z	Reposition Right Lower Femur with External Fixation Device, Percutaneous Approach
0QSB36Z	Reposition Right Lower Femur 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 after a high-energy motor vehicle collision with an acute, displaced fracture of the distal (lower) right femur with significant angular deformity and cortical displacement. Open reduction is required to visualize the fracture, achieve anatomic alignment, and stabilize the bone using internal fixation hardware. A reposition procedure with an internal fixation device via an open approach is performed to restore alignment and allow definitive fixation. Typical codes: 0QSB04Z
An elderly patient with progressive malunion of a previously treated distal right femur fracture presents electively with pain and impaired ambulation; imaging shows malalignment of the lower femur requiring corrective repositioning. A planned percutaneous reposition is performed to realign the bone and minimize soft tissue disruption, with intramedullary fixation used to maintain correction. This approach is chosen to reduce operative morbidity while restoring mechanical axis. Typical codes: 0QSB36Z
A patient develops postoperative instability and loss of reduction after initial external fixation for a distal right femur fracture, with pin tract problems and inadequate alignment. In the inpatient setting, the surgeon revises the alignment by converting and repositioning the lower femur, removing or adjusting external fixation and applying an open internal fixation device to achieve stable realignment. The procedure addresses the complication of failed external fixation and restores proper femoral position. Typical codes: 0QSB04Z, 0QSB05Z

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

0QS9-LEFT-FEMORAL-SHAFT-REPOSITION

ICD-10-PCS Code For Femoral Shaft, Left: 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
0QSB04Z	Reposition Right Lower Femur with Internal Fixation Device, Open Approach
0QSB05Z	Reposition Right Lower Femur with External Fixation Device, Open Approach
0QSB06Z	Reposition Right Lower Femur with Intramedullary Internal Fixation Device, Open Approach
0QSB0BZ	Reposition Right Lower Femur with Monoplanar External Fixation Device, Open Approach
0QSB0CZ	Reposition Right Lower Femur with Ring External Fixation Device, Open Approach
0QSB0DZ	Reposition Right Lower Femur with Hybrid External Fixation Device, Open Approach
0QSB0ZZ	Reposition Right Lower Femur, Open Approach
0QSB34Z	Reposition Right Lower Femur with Internal Fixation Device, Percutaneous Approach
0QSB35Z	Reposition Right Lower Femur with External Fixation Device, Percutaneous Approach
0QSB36Z	Reposition Right Lower Femur 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 after a high-energy motor vehicle collision with an acute, displaced fracture of the distal (lower) right femur with significant angular deformity and cortical displacement. Open reduction is required to visualize the fracture, achieve anatomic alignment, and stabilize the bone using internal fixation hardware. A reposition procedure with an internal fixation device via an open approach is performed to restore alignment and allow definitive fixation. Typical codes: 0QSB04Z
An elderly patient with progressive malunion of a previously treated distal right femur fracture presents electively with pain and impaired ambulation; imaging shows malalignment of the lower femur requiring corrective repositioning. A planned percutaneous reposition is performed to realign the bone and minimize soft tissue disruption, with intramedullary fixation used to maintain correction. This approach is chosen to reduce operative morbidity while restoring mechanical axis. Typical codes: 0QSB36Z
A patient develops postoperative instability and loss of reduction after initial external fixation for a distal right femur fracture, with pin tract problems and inadequate alignment. In the inpatient setting, the surgeon revises the alignment by converting and repositioning the lower femur, removing or adjusting external fixation and applying an open internal fixation device to achieve stable realignment. The procedure addresses the complication of failed external fixation and restores proper femoral position. Typical codes: 0QSB04Z, 0QSB05Z

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

0QS9-LEFT-FEMORAL-SHAFT-REPOSITION

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

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

Lower Femur Reposition Procedure Overview

Code Attributes

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

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

Lower Femur Reposition Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers repositioning procedures for the right lower femur?

What body system and operation are represented by codes in the 0QSB group?

What approaches and fixation device options are specified within the 0QSB code list?

How should accurate coding within ICD-10-PCS 0QSB affect inpatient documentation and reimbursement?

Which DRGs may be related to procedures coded from the 0QSB group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers repositioning procedures for the right lower femur?

What body system and operation are represented by codes in the 0QSB group?

What approaches and fixation device options are specified within the 0QSB code list?

How should accurate coding within ICD-10-PCS 0QSB affect inpatient documentation and reimbursement?

Which DRGs may be related to procedures coded from the 0QSB group?

References