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ICD-10-PCS 2027 procedure code

00PEXMZRemoval of Neurostimulator Lead from Cranial Nerve, External Approach

✓ Valid for 2027

Short description: Removal of Neuro Lead from Cranial Nrv, Extern 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 00PEXMZ

00PEXMZ is the ICD-10-PCS code for a removal procedure on the cranial nerve using an external 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 peripheral neurostimulator lead(s), the ICD-9-CM procedure title it maps to (04.93).

For a different body part, codes include 00P0XMZ (brain), 00P6XMZ (cerebral ventricle), 00PUXMZ (spinal canal) and 00PVXMZ (spinal cord).

The same procedure with a different approach is coded 00PE0MZ (open), 00PE3MZ (percutaneous) and 00PE4MZ (percutaneous endoscopic).

With a different device, use 00PEX0Z (drainage device), 00PEX2Z (monitoring device) and 00PEX3Z (infusion device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
MNeurostimulator Lead
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 04.93Removal of peripheral neurostimulator lead(s)approximate

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 00PEXMZ

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

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

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

The CMS GEMs map 00PEXMZ to ICD-9-CM 04.93 (Removal of peripheral neurostimulator lead(s)).