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ICD-10-PCS 2027 procedure code

02H74KZInsertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Defib Lead into L Atrium, 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 02H74KZ

02H74KZ is the ICD-10-PCS code for a insertion procedure on the left atrium using a percutaneous endoscopic approach with cardiac lead, defibrillator. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to implantation of automatic cardioverter/defibrillator lead(s) only, the ICD-9-CM procedure title it maps to (37.95).

For a different body part, codes include 02H44KZ (coronary vein), 02H64KZ (right atrium), 02HK4KZ (right ventricle), 02HL4KZ (left ventricle) and 02HN4KZ (pericardium).

The same procedure with a different approach is coded 02H70KZ (open) and 02H73KZ (percutaneous).

With a different device, use 02H740Z (monitoring device, pressure sensor), 02H742Z (monitoring device), 02H743Z (infusion device), 02H74DZ (intraluminal device), 02H74JZ (cardiac lead, pacemaker), 02H74MZ (cardiac lead) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 265 (AICD Lead Procedures) and DRG 275 (Cardiac Defibrillator Implant with Cardiac Catheterization and MCC), under the surgical categories “AICD Lead Procedures” and “Cardiac Defibrillator Implant with Cardiac Catheterization”.

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
2Heart and Great Vessels
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
7Atrium, Left

Includes: Atrium pulmonale; Left auricular appendix

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
KCardiac Lead, Defibrillator
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 05 · Diseases and Disorders of the Circulatory System · AICD Lead Procedures

MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Defibrillator Implant with Cardiac Catheterization

MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Defibrillator Implant with Cardiac Catheterization

MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Defibrillator Implant with Cardiac Catheterization

MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Defibrillator Implant with Cardiac Catheterization

ICD-9-CM equivalent

Converter →
  • 37.95Implantation of automatic cardioverter/defibrillator lead(s) onlyapproximate

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 02H74KZ

Is 02H74KZ a valid ICD-10-PCS code for 2027?

Yes. 02H74KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02H74KZ an O.R. procedure?

Yes. 02H74KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02H74KZ group to?

Depending on the principal diagnosis, 02H74KZ can group to MS-DRG 265 and MS-DRG 275.

What is the ICD-9 procedure code for 02H74KZ?

The CMS GEMs map 02H74KZ to ICD-9-CM 37.95 (Implantation of automatic cardioverter/defibrillator lead(s) only).