ICD-10-PCS 2027 procedure code
00P64MZRemoval of Neurostimulator Lead from Cerebral Ventricle, Percutaneous Endoscopic Approach
Short description: Removal of Neuro Lead 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 00P64MZ
00P64MZ is the ICD-10-PCS code for a removal procedure on the cerebral ventricle using a percutaneous endoscopic approach with neurostimulator lead. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to removal of intracranial neurostimulator lead(s), the ICD-9-CM procedure title it maps to (01.22).
For a different body part, codes include 00P04MZ (brain), 00PE4MZ (cranial nerve), 00PU4MZ (spinal canal) and 00PV4MZ (spinal cord).
The same procedure with a different approach is coded 00P60MZ (open), 00P63MZ (percutaneous) and 00P6XMZ (external).
With a different device, use 00P640Z (drainage device), 00P642Z (monitoring device), 00P643Z (infusion device), 00P64JZ (synthetic substitute) and 00P64YZ (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 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 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
- 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
- MNeurostimulator Lead
- 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 01 · Diseases and Disorders of the Nervous System · Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis
MDC 01 · Diseases and Disorders of the Nervous System · Craniotomy and endovascular intracranial procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
ICD-9-CM equivalent
Converter →- 01.22Removal of intracranial neurostimulator lead(s)approximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 00P64MZ
Is 00P64MZ a valid ICD-10-PCS code for 2027?
- Yes. 00P64MZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 00P64MZ an O.R. procedure?
- Yes. 00P64MZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 00P64MZ group to?
- Depending on the principal diagnosis, 00P64MZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 820.
What is the ICD-9 procedure code for 00P64MZ?
- The CMS GEMs map 00P64MZ to ICD-9-CM 01.22 (Removal of intracranial neurostimulator lead(s)).