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ICD-10-PCS 2027 procedure code

00W640ZRevision of Drainage Device in Cerebral Ventricle, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Drain Dev in Cereb Vent, 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 00W640Z

00W640Z is the ICD-10-PCS code for a revision procedure on the cerebral ventricle using a percutaneous endoscopic approach with drainage 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 00W040Z (brain), 00WE40Z (cranial nerve), 00WU40Z (spinal canal) and 00WV40Z (spinal cord).

The same procedure with a different approach is coded 00W600Z (open), 00W630Z (percutaneous) and 00W6X0Z (external).

With a different device, use 00W642Z (monitoring device), 00W643Z (infusion device), 00W64JZ (synthetic substitute), 00W64MZ (neurostimulator lead) and 00W64YZ (other device).

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
6Cerebral Ventricle

Includes: Aqueduct of Sylvius; Cerebral aqueduct (Sylvius); Choroid plexus; Ependyma; Foramen of Monro (intraventricular); Fourth ventricle; Interventricular foramen (Monro); Left lateral ventricle; Right lateral ventricle; Third ventricle

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.

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 00W640Z

Is 00W640Z a valid ICD-10-PCS code for 2027?

Yes. 00W640Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00W640Z an O.R. procedure?

Yes. 00W640Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 00W640Z group to?

Depending on the principal diagnosis, 00W640Z 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 00W640Z?

The CMS GEMs map 00W640Z to ICD-9-CM 01.39 (Other incision of brain).