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ICD-10-PCS 2027 procedure code

00904ZZDrainage of Brain, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00904ZZ

00904ZZ is the ICD-10-PCS code for a drainage procedure on the brain using a percutaneous endoscopic approach. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to other incision of brain, the ICD-9-CM procedure title it maps to (01.39).

For a different body part, codes include 00914ZZ (cerebral meninges), 00924ZZ (dura mater), 00934ZZ (epidural space, intracranial), 00944ZZ (subdural space, intracranial), 00954ZZ (subarachnoid space, intracranial), 00964ZZ (cerebral ventricle) and 24 more.

The same procedure with a different approach is coded 00900ZZ (open) and 00903ZZ (percutaneous).

With a different device, use 009040Z (drainage device).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
0Central Nervous System and Cranial Nerves
3. Operation
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

4. Body Part
0Brain

Includes: Cerebrum; Corpus callosum; Encephalon

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 01.39Other incision of brainapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 00904ZZ

Is 00904ZZ a valid ICD-10-PCS code for 2027?

Yes. 00904ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00904ZZ an O.R. procedure?

Yes. 00904ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00904ZZ group to?

Depending on the principal diagnosis, 00904ZZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 907.

What is the ICD-9 procedure code for 00904ZZ?

The CMS GEMs map 00904ZZ to ICD-9-CM 01.39 (Other incision of brain).