0QHG37ZInsertion of Intramedullary Limb Lengthening Internal Fixation Device into Right Tibia, Percutaneous Approach

0QHG37Z is the ICD-10-PCS code for a insertion procedure on the right tibia using a percutaneous approach with internal fixation device, intramedullary limb lengthening. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

For a different body part, codes include 0QH837Z (right femoral shaft), 0QH937Z (left femoral shaft) and 0QHH37Z (left tibia).

The same procedure with a different approach is coded 0QHG07Z (open) and 0QHG47Z (percutaneous endoscopic).

With a different device, use 0QHG34Z (internal fixation device), 0QHG35Z (external fixation device), 0QHG36Z (internal fixation device, intramedullary), 0QHG38Z (external fixation device, limb lengthening), 0QHG3BZ (external fixation device, monoplanar), 0QHG3CZ (external fixation device, ring) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2020, effective October 1, 2019.