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ICD-10-PCS 2027 procedure code

02HL4JZInsertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

✓ Valid for 2027Non-O.R. procedure

Short description: Insertion of Pace Lead into L Ventricle, 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 02HL4JZ

02HL4JZ is the ICD-10-PCS code for a insertion procedure on the left ventricle using a percutaneous endoscopic approach with cardiac lead, pacemaker. 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 initial insertion of lead [electrode], not otherwise specified, the ICD-9-CM procedure title it maps to (37.70).

For a different body part, codes include 02H44JZ (coronary vein), 02H64JZ (right atrium), 02H74JZ (left atrium), 02HK4JZ (right ventricle) and 02HN4JZ (pericardium).

The same procedure with a different approach is coded 02HL0JZ (open) and 02HL3JZ (percutaneous).

With a different device, use 02HL40Z (monitoring device, pressure sensor), 02HL42Z (monitoring device), 02HL43Z (infusion device), 02HL4DZ (intraluminal device), 02HL4KZ (cardiac lead, defibrillator), 02HL4MZ (cardiac lead) and 2 more.

It is a non-O.R. procedure that is part of the MS-DRG logic for DRG 210 (Cardiac Pacemaker Revision or Device Replacement with MCC) and DRG 211 (Cardiac Pacemaker Revision or Device Replacement without MCC), under the surgical category “Cardiac Pacemaker Revision or Device Replacement”.

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
LVentricle, Left
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
JCardiac Lead, Pacemaker
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 · Cardiac Pacemaker Revision or Device Replacement

ICD-9-CM equivalent

Converter →
  • 37.70Initial insertion of lead [electrode], not otherwise specifiedapproximate

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 02HL4JZ

Is 02HL4JZ a valid ICD-10-PCS code for 2027?

Yes. 02HL4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02HL4JZ an O.R. procedure?

No. 02HL4JZ is designated non-O.R. in MS-DRG v44.0.

What DRG does 02HL4JZ group to?

Depending on the principal diagnosis, 02HL4JZ can group to MS-DRG 210 and MS-DRG 211.

What is the ICD-9 procedure code for 02HL4JZ?

The CMS GEMs map 02HL4JZ to ICD-9-CM 37.70 (Initial insertion of lead [electrode], not otherwise specified).