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ICD-10-PCS 2027 procedure code

00W042ZRevision of Monitoring Device in Brain, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Monitoring Device in Brain, 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 00W042Z

00W042Z is the ICD-10-PCS code for a revision procedure on the brain using a percutaneous endoscopic approach with monitoring device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other incision of brain, the ICD-9-CM procedure title it maps to (01.39).

For a different body part, codes include 00W642Z (cerebral ventricle), 00WE42Z (cranial nerve), 00WU42Z (spinal canal) and 00WV42Z (spinal cord).

The same procedure with a different approach is coded 00W002Z (open), 00W032Z (percutaneous) and 00W0X2Z (external).

With a different device, use 00W040Z (drainage device), 00W043Z (infusion device), 00W047Z (autologous tissue substitute), 00W04JZ (synthetic substitute), 00W04KZ (nonautologous tissue substitute), 00W04MZ (neurostimulator lead) and 1 more.

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 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Other O.R. Procedures for Injuries” 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
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
0Brain

Includes: Cerebrum; Corpus callosum; Encephalon

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.

MDC 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 01.39Other incision of brainapproximate

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 00W042Z

Is 00W042Z a valid ICD-10-PCS code for 2027?

Yes. 00W042Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00W042Z an O.R. procedure?

Yes. 00W042Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 00W042Z group to?

Depending on the principal diagnosis, 00W042Z can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 907.

What is the ICD-9 procedure code for 00W042Z?

The CMS GEMs map 00W042Z to ICD-9-CM 01.39 (Other incision of brain).