ICD-10-PCS 2027 procedure code
02PA0MZRemoval of Cardiac Lead from Heart, Open 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 02PA0MZ
02PA0MZ is the ICD-10-PCS code for a removal procedure on the heart using an open approach with cardiac lead. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to removal of lead(s) [electrode] without replacement, the ICD-9-CM procedure title it maps to (37.77).
The same procedure with a different approach is coded 02PA3MZ (percutaneous), 02PA4MZ (percutaneous endoscopic) and 02PAXMZ (external).
With a different device, use 02PA02Z (monitoring device), 02PA03Z (infusion device), 02PA07Z (autologous tissue substitute), 02PA08Z (zooplastic tissue), 02PA0CZ (extraluminal device), 02PA0DZ (intraluminal device) and 6 more.
It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 210 (Cardiac Pacemaker Revision or Device Replacement with MCC), DRG 211 (Cardiac Pacemaker Revision or Device Replacement without MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Cardiac Pacemaker Revision or Device Replacement”, “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
- 2Heart and Great Vessels
- 3. Operation
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 4. Body Part
- AHeart
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- MCardiac Lead
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different approach
Different device
- 02PA02ZMonitoring Device
- 02PA03ZInfusion Device
- 02PA07ZAutologous Tissue Substitute
- 02PA08ZZooplastic Tissue
- 02PA0CZExtraluminal Device
- 02PA0DZIntraluminal Device
- 02PA0JZSynthetic Substitute
- 02PA0KZNonautologous Tissue Substitute
- 02PA0NZIntracardiac Pacemaker
- 02PA0QZImplantable Heart Assist System
- 02PA0RZShort-term External Heart Assist System
- 02PA0YZOther Device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Pacemaker Revision or Device Replacement
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 37.77Removal of lead(s) [electrode] without replacementapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 02PA0MZ
Is 02PA0MZ a valid ICD-10-PCS code for 2027?
- Yes. 02PA0MZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02PA0MZ an O.R. procedure?
- Yes. 02PA0MZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02PA0MZ group to?
- Depending on the principal diagnosis, 02PA0MZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 210, MS-DRG 211 and MS-DRG 907.
What is the ICD-9 procedure code for 02PA0MZ?
- The CMS GEMs map 02PA0MZ to ICD-9-CM 37.77 (Removal of lead(s) [electrode] without replacement).