ICD-10-PCS 2027 procedure code
02WA4MZRevision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach
Short description: Revision of Cardiac Lead in Heart, 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 02WA4MZ
02WA4MZ is the ICD-10-PCS code for a revision procedure on the heart using a percutaneous endoscopic approach with cardiac lead. 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 revision of lead [electrode], the ICD-9-CM procedure title it maps to (37.75).
The same procedure with a different approach is coded 02WA0MZ (open), 02WA3MZ (percutaneous) and 02WAXMZ (external).
With a different device, use 02WA42Z (monitoring device), 02WA43Z (infusion device), 02WA47Z (autologous tissue substitute), 02WA48Z (zooplastic tissue), 02WA4CZ (extraluminal device), 02WA4DZ (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
- 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
- AHeart
- 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
- MCardiac Lead
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different approach
Different device
- 02WA42ZMonitoring Device
- 02WA43ZInfusion Device
- 02WA47ZAutologous Tissue Substitute
- 02WA48ZZooplastic Tissue
- 02WA4CZExtraluminal Device
- 02WA4DZIntraluminal Device
- 02WA4JZSynthetic Substitute
- 02WA4KZNonautologous Tissue Substitute
- 02WA4NZIntracardiac Pacemaker
- 02WA4QZImplantable Heart Assist System
- 02WA4RZShort-term External Heart Assist System
- 02WA4YZOther 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 →- 37.75Revision of lead [electrode]approximate
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 02WA4MZ
Is 02WA4MZ a valid ICD-10-PCS code for 2027?
- Yes. 02WA4MZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02WA4MZ an O.R. procedure?
- Yes. 02WA4MZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02WA4MZ group to?
- Depending on the principal diagnosis, 02WA4MZ 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 02WA4MZ?
- The CMS GEMs map 02WA4MZ to ICD-9-CM 37.75 (Revision of lead [electrode]).