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ICD-10-PCS 2027 procedure code

00HV41ZInsertion of Radioactive Element into Spinal Cord, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert of Radioact Elem into Spinal Cord, Perc Endo Approach

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00HV41Z

00HV41Z is the ICD-10-PCS code for a insertion procedure on the spinal cord using a percutaneous endoscopic approach with radioactive element. 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 00H041Z (brain), 00H641Z (cerebral ventricle), 00HE41Z (cranial nerve) and 00HU41Z (spinal canal).

The same procedure with a different approach is coded 00HV01Z (open) and 00HV31Z (percutaneous).

With a different device, use 00HV42Z (monitoring device), 00HV43Z (infusion device), 00HV4MZ (neurostimulator lead) and 00HV4YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

It was added in FY2021, effective October 1, 2020.

What each character means

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

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

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
VSpinal Cord

Includes: Dorsal root ganglion

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
1Radioactive Element

Includes: Brachytherapy seeds; CivaSheet(R)

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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

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
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about 00HV41Z

Is 00HV41Z a valid ICD-10-PCS code for 2027?

Yes. 00HV41Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00HV41Z an O.R. procedure?

Yes. 00HV41Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 00HV41Z group to?

Depending on the principal diagnosis, 00HV41Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.