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ICD-10-PCS 2027 procedure code

00D74ZZExtraction of Cerebral Hemisphere, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extraction of Cerebral Hemisphere, Perc Endo Approach

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00D74ZZ

00D74ZZ is the ICD-10-PCS code for a extraction procedure on the cerebral hemisphere using a percutaneous endoscopic approach. In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

For a different body part, codes include 00D04ZZ (brain), 00D14ZZ (cerebral meninges), 00D24ZZ (dura mater), 00DC4ZZ (cerebellum), 00DF4ZZ (olfactory nerve), 00DG4ZZ (optic nerve) and 11 more.

The same procedure with a different approach is coded 00D70ZZ (open) and 00D73ZZ (percutaneous).

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 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

It was added in FY2022, effective October 1, 2021.

What each character means

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

Pulling or stripping out or off all or a portion of a body part by the use of force

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

Includes: Dilation and curettage, vein stripping

4. Body Part
7Cerebral Hemisphere

Includes: Frontal lobe; Occipital lobe; Parietal lobe; Temporal lobe

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

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

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
  • FY2022 (effective 10/1/2021): Added
  • No changes since FY2022.

Common questions about 00D74ZZ

Is 00D74ZZ a valid ICD-10-PCS code for 2027?

Yes. 00D74ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00D74ZZ an O.R. procedure?

Yes. 00D74ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00D74ZZ group to?

Depending on the principal diagnosis, 00D74ZZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 820.