00H003ZInsertion of Infusion Device into Brain, Open Approach

00H003Z is the ICD-10-PCS code for a insertion procedure on the brain using an open approach with infusion device. 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.

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 00H603Z (cerebral ventricle), 00HE03Z (cranial nerve), 00HU03Z (spinal canal) and 00HV03Z (spinal cord).

The same procedure with a different approach is coded 00H033Z (percutaneous) and 00H043Z (percutaneous endoscopic).

With a different device, use 00H001Z (radioactive element), 00H002Z (monitoring device), 00H004Z (radioactive element, cesium-131 collagen implant), 00H005Z (radioactive element, palladium-103 collagen implant), 00H00MZ (neurostimulator lead) and 00H00YZ (other 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.