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ICD-10-PCS 2027 procedure code

00PV42ZRemoval of Monitoring Device from Spinal Cord, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Monitor Dev from Spinal Cord, 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 00PV42Z

00PV42Z is the ICD-10-PCS code for a removal procedure on the spinal cord using a percutaneous endoscopic approach with monitoring device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other chordotomy, the ICD-9-CM procedure title it maps to (03.29).

For a different body part, codes include 00P042Z (brain), 00P642Z (cerebral ventricle), 00PE42Z (cranial nerve) and 00PU42Z (spinal canal).

The same procedure with a different approach is coded 00PV02Z (open), 00PV32Z (percutaneous) and 00PVX2Z (external).

With a different device, use 00PV40Z (drainage device), 00PV43Z (infusion device), 00PV47Z (autologous tissue substitute), 00PV4JZ (synthetic substitute), 00PV4KZ (nonautologous tissue substitute), 00PV4MZ (neurostimulator lead) and 1 more.

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 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), DRG 424 (Other Hepatobiliary or Pancreas O.R. Procedures with CC) and DRG 425 (Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC), under the surgical categories “Spinal Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 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
VSpinal Cord

Includes: Dorsal root ganglion

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
2Monitoring Device

Includes: Blood glucose monitoring system; Cardiac event recorder; Continuous Glucose Monitoring (CGM) device; Implantable glucose monitoring device; Loop recorder, implantable; Reveal (LINQ)(DX)(XT)

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 →
  • 03.29Other chordotomyapproximate

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 00PV42Z

Is 00PV42Z a valid ICD-10-PCS code for 2027?

Yes. 00PV42Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00PV42Z an O.R. procedure?

Yes. 00PV42Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 00PV42Z group to?

Depending on the principal diagnosis, 00PV42Z can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 423, MS-DRG 424 and MS-DRG 425.

What is the ICD-9 procedure code for 00PV42Z?

The CMS GEMs map 00PV42Z to ICD-9-CM 03.29 (Other chordotomy).