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ICD-10-PCS 2027 procedure code

02HL4NZInsertion of Intracardiac Pacemaker into Left Ventricle, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert Intracard Pacer in L Ventricle, Perc Endo

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02HL4NZ

02HL4NZ is the ICD-10-PCS code for a insertion procedure on the left ventricle using a percutaneous endoscopic approach with intracardiac 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.

For a different body part, codes include 02H44NZ (coronary vein), 02H64NZ (right atrium), 02H74NZ (left atrium) and 02HK4NZ (right ventricle).

The same procedure with a different approach is coded 02HL0NZ (open) and 02HL3NZ (percutaneous).

With a different device, use 02HL40Z (monitoring device, pressure sensor), 02HL42Z (monitoring device), 02HL43Z (infusion device), 02HL4DZ (intraluminal device), 02HL4JZ (cardiac lead, pacemaker), 02HL4KZ (cardiac lead, defibrillator) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 228 (Other Cardiothoracic Procedures with MCC) and DRG 229 (Other Cardiothoracic Procedures without MCC), under the surgical category “Other Cardiothoracic Procedures”.

It was added in FY2017, effective October 1, 2016.

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
NIntracardiac 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 · Other Cardiothoracic Procedures

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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 02HL4NZ

Is 02HL4NZ a valid ICD-10-PCS code for 2027?

Yes. 02HL4NZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02HL4NZ an O.R. procedure?

Yes. 02HL4NZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02HL4NZ group to?

Depending on the principal diagnosis, 02HL4NZ can group to MS-DRG 228 and MS-DRG 229.