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ICD-10-PCS 2027 procedure code

00PU0MZRemoval of Neurostimulator Lead from Spinal Canal, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Neuro Lead from Spinal Canal, Open 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 00PU0MZ

00PU0MZ is the ICD-10-PCS code for a removal procedure on the spinal canal using an open 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 spinal neurostimulator lead(s), the ICD-9-CM procedure title it maps to (03.94).

For a different body part, codes include 00P00MZ (brain), 00P60MZ (cerebral ventricle), 00PE0MZ (cranial nerve) and 00PV0MZ (spinal cord).

The same procedure with a different approach is coded 00PU3MZ (percutaneous), 00PU4MZ (percutaneous endoscopic) and 00PUXMZ (external).

With a different device, use 00PU00Z (drainage device), 00PU02Z (monitoring device), 00PU03Z (infusion device), 00PU0JZ (synthetic substitute) and 00PU0YZ (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”, “Other Kidney and Urinary Tract Procedures” and 5 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
USpinal Canal

Includes: Epidural space, spinal; Extradural space, spinal; Subarachnoid space, spinal; Subdural space, spinal; Vertebral canal

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive System O.R. Procedures

MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 03.94Removal of spinal 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 00PU0MZ

Is 00PU0MZ a valid ICD-10-PCS code for 2027?

Yes. 00PU0MZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00PU0MZ an O.R. procedure?

Yes. 00PU0MZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00PU0MZ group to?

Depending on the principal diagnosis, 00PU0MZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 00PU0MZ?

The CMS GEMs map 00PU0MZ to ICD-9-CM 03.94 (Removal of spinal neurostimulator lead(s)).