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ICD-10-PCS 2027 procedure code

00P64JZRemoval of Synthetic Substitute from Cerebral Ventricle, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Synth Sub from Cereb Vent, Perc Endo Approach

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 00P64JZ

00P64JZ is the ICD-10-PCS code for a removal procedure on the cerebral ventricle using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of ventricular shunt, the ICD-9-CM procedure title it maps to (02.43).

For a different body part, codes include 00P04JZ (brain), 00PU4JZ (spinal canal) and 00PV4JZ (spinal cord).

The same procedure with a different approach is coded 00P60JZ (open) and 00P63JZ (percutaneous).

With a different device, use 00P640Z (drainage device), 00P642Z (monitoring device), 00P643Z (infusion device), 00P64MZ (neurostimulator lead) and 00P64YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 031 (Ventricular Shunt Procedures with MCC), DRG 032 (Ventricular Shunt Procedures with CC), DRG 033 (Ventricular Shunt Procedures 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 “Ventricular Shunt Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
6Cerebral Ventricle

Includes: Aqueduct of Sylvius; Cerebral aqueduct (Sylvius); Choroid plexus; Ependyma; Foramen of Monro (intraventricular); Fourth ventricle; Interventricular foramen (Monro); Left lateral ventricle; Right lateral ventricle; Third ventricle

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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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.

ICD-9-CM equivalent

Converter →
  • 02.43Removal of ventricular shuntapproximate

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 00P64JZ

Is 00P64JZ a valid ICD-10-PCS code for 2027?

Yes. 00P64JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00P64JZ an O.R. procedure?

Yes. 00P64JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00P64JZ group to?

Depending on the principal diagnosis, 00P64JZ can group to MS-DRG 031, MS-DRG 032, MS-DRG 033, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 00P64JZ?

The CMS GEMs map 00P64JZ to ICD-9-CM 02.43 (Removal of ventricular shunt).