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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0QUB includes procedures performed to supplement bone with biological or synthetic material in the lower femur, right. These ICD-10-PCS codes are used for inpatient documentation when material is placed in or on the lower femur to reinforce or augment its function. Accurate coding within the ICD-10-PCS 0QUB group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Lower Femur Supplement Procedure Overview

Procedures in this group involve placing biological or synthetic material to reinforce or augment the structural function of the lower femur on the right side. These interventions target the lower bones body system and are coded when material is put in or on the bone to support strength or stability. Accurate ICD-10-PCS coding of these procedures ensures the inpatient record reflects the augmentation performed and supports appropriate reimbursement for the care provided.

Code Attributes

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

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

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Lower Femur Supplement Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when biological or synthetic material is placed in or on the right lower femur during an inpatient procedure to reinforce or augment the bone. Codes apply when the main objective of the procedure is supplementation rather than resection, repair, or replacement.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0QUB07Z	Supplement Right Lower Femur with Autologous Tissue Substitute, Open Approach
0QUB0JZ	Supplement Right Lower Femur with Synthetic Substitute, Open Approach
0QUB0KZ	Supplement Right Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QUB37Z	Supplement Right Lower Femur with Autologous Tissue Substitute, Percutaneous Approach
0QUB3JZ	Supplement Right Lower Femur with Synthetic Substitute, Percutaneous Approach
0QUB3KZ	Supplement Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QUB47Z	Supplement Right Lower Femur with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QUB4JZ	Supplement Right Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QUB4KZ	Supplement Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

7 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
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 82-year-old woman with osteoporosis sustains a displaced distal femoral fragility fracture of the right lower femur after a ground-level fall. During inpatient fixation, the surgeon places biologic autologous bone graft material onto the fracture site to augment cortical support and promote healing in osteoporotic bone. The primary intent is supplementation of the lower femur with the patient’s own tissue to reinforce structural integrity. Typical codes: 0QUB07Z
A 56-year-old man with a chronic nonunion of a right distal femur fracture presents for a planned inpatient operation after failed conservative management. The operative plan includes minimally invasive percutaneous delivery of a synthetic bone substitute into the nonunion site to provide mechanical support and stimulate bone incorporation. The procedure’s goal is to supplement the lower femur with synthetic material to achieve union. Typical codes: 0QUB3JZ
A 47-year-old patient with prior open reduction internal fixation of a right lower femur fracture develops hardware failure and bone loss with infected nonunion. After debridement and interim management, the definitive inpatient reconstruction uses percutaneous endoscopic placement of nonautologous (allograft) tissue substitute to augment the deficient bone stock and restore stability. The procedure is performed to supplement the lower femur with nonautologous tissue in a revision setting. Typical codes: 0QUB4KZ

Related Codes

0QU0-LUMBAR-VERTEBRA-SUPPLEMENT

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

0QU1-SACRUM-SUPPLEMENT

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

0QU2-PELVIC-BONE-RIGHT-SUPPLEMENT

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

0QU3-PELVIC-BONE-LEFT-SUPPLEMENT

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

0QU4-ACETABULUM-RIGHT-SUPPLEMENT

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

0QU5-LEFT-ACETABULUM-SUPPLEMENT

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

0QU6-UPPER-FEMUR-RIGHT-SUPPLEMENT

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

0QU7-LEFT-UPPER-FEMUR-SUPPLEMENT

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

0QU8-FEMORAL-SHAFT-SUPPLEMENT

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

0QU9-LEFT-FEMORAL-SHAFT-SUPPLEMENT

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

9 rows

ICD-10-PCS Code	Description
0QUB07Z	Supplement Right Lower Femur with Autologous Tissue Substitute, Open Approach
0QUB0JZ	Supplement Right Lower Femur with Synthetic Substitute, Open Approach
0QUB0KZ	Supplement Right Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QUB37Z	Supplement Right Lower Femur with Autologous Tissue Substitute, Percutaneous Approach
0QUB3JZ	Supplement Right Lower Femur with Synthetic Substitute, Percutaneous Approach
0QUB3KZ	Supplement Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QUB47Z	Supplement Right Lower Femur with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QUB4JZ	Supplement Right Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QUB4KZ	Supplement Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

7 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
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 82-year-old woman with osteoporosis sustains a displaced distal femoral fragility fracture of the right lower femur after a ground-level fall. During inpatient fixation, the surgeon places biologic autologous bone graft material onto the fracture site to augment cortical support and promote healing in osteoporotic bone. The primary intent is supplementation of the lower femur with the patient’s own tissue to reinforce structural integrity. Typical codes: 0QUB07Z
A 56-year-old man with a chronic nonunion of a right distal femur fracture presents for a planned inpatient operation after failed conservative management. The operative plan includes minimally invasive percutaneous delivery of a synthetic bone substitute into the nonunion site to provide mechanical support and stimulate bone incorporation. The procedure’s goal is to supplement the lower femur with synthetic material to achieve union. Typical codes: 0QUB3JZ
A 47-year-old patient with prior open reduction internal fixation of a right lower femur fracture develops hardware failure and bone loss with infected nonunion. After debridement and interim management, the definitive inpatient reconstruction uses percutaneous endoscopic placement of nonautologous (allograft) tissue substitute to augment the deficient bone stock and restore stability. The procedure is performed to supplement the lower femur with nonautologous tissue in a revision setting. Typical codes: 0QUB4KZ

Related Codes

0QU0-LUMBAR-VERTEBRA-SUPPLEMENT

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

0QU1-SACRUM-SUPPLEMENT

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

0QU2-PELVIC-BONE-RIGHT-SUPPLEMENT

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

0QU3-PELVIC-BONE-LEFT-SUPPLEMENT

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

0QU4-ACETABULUM-RIGHT-SUPPLEMENT

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

0QU5-LEFT-ACETABULUM-SUPPLEMENT

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

0QU6-UPPER-FEMUR-RIGHT-SUPPLEMENT

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

0QU7-LEFT-UPPER-FEMUR-SUPPLEMENT

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

0QU8-FEMORAL-SHAFT-SUPPLEMENT

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

0QU9-LEFT-FEMORAL-SHAFT-SUPPLEMENT

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: Procedure Code Group Overview

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

Lower Femur Supplement Procedure Overview

Code Attributes

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

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

Lower Femur Supplement 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 0QUB describe?

What body part and laterality are captured in the 0QUB code group?

What approaches and material types are represented among the specific codes in 0QUB?

How does accurate coding in the 0QUB group affect inpatient documentation and reimbursement?

Which DRG categories may relate to procedures coded in the 0QUB 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 0QUB describe?

What body part and laterality are captured in the 0QUB code group?

What approaches and material types are represented among the specific codes in 0QUB?

How does accurate coding in the 0QUB group affect inpatient documentation and reimbursement?

Which DRG categories may relate to procedures coded in the 0QUB group?

References