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ICD-10-PCS 2027 procedure code

00PE40ZRemoval of Drainage Device from Cranial Nerve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Drain Dev from Cranial Nrv, 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 00PE40Z

00PE40Z is the ICD-10-PCS code for a removal procedure on the cranial nerve using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other incision of cranial and peripheral nerves, the ICD-9-CM procedure title it maps to (04.04).

For a different body part, codes include 00P040Z (brain), 00P640Z (cerebral ventricle), 00PU40Z (spinal canal) and 00PV40Z (spinal cord).

The same procedure with a different approach is coded 00PE00Z (open), 00PE30Z (percutaneous) and 00PEX0Z (external).

With a different device, use 00PE42Z (monitoring device), 00PE43Z (infusion device), 00PE47Z (autologous tissue substitute), 00PE4MZ (neurostimulator lead) and 00PE4YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator) and DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), under the surgical category “Peripheral, Cranial Nerve and Other Nervous System Procedures”.

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
ECranial Nerve
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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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 →
  • 04.04Other incision of cranial and peripheral nervesapproximate

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 00PE40Z

Is 00PE40Z a valid ICD-10-PCS code for 2027?

Yes. 00PE40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00PE40Z an O.R. procedure?

Yes. 00PE40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 00PE40Z group to?

Depending on the principal diagnosis, 00PE40Z can group to MS-DRG 040, MS-DRG 041 and MS-DRG 042.

What is the ICD-9 procedure code for 00PE40Z?

The CMS GEMs map 00PE40Z to ICD-9-CM 04.04 (Other incision of cranial and peripheral nerves).