ICD-10-PCS 2027 procedure code
02WA4NZRevision of Intracardiac Pacemaker in Heart, Percutaneous Endoscopic Approach
Short description: Revision of Intracard Pacer in Heart, Perc Endo Approach
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 02WA4NZ
02WA4NZ is the ICD-10-PCS code for a revision procedure on the heart using a percutaneous endoscopic approach with intracardiac pacemaker. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.
The same procedure with a different approach is coded 02WA0NZ (open), 02WA3NZ (percutaneous) and 02WAXNZ (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 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
- 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
- NIntracardiac Pacemaker
- 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
- 02WA4MZCardiac Lead
- 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 05 · Diseases and Disorders of the Circulatory System · Other Cardiothoracic Procedures
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2017 (effective 10/1/2016): Added
- No changes since FY2017.
Common questions about 02WA4NZ
Is 02WA4NZ a valid ICD-10-PCS code for 2027?
- Yes. 02WA4NZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02WA4NZ an O.R. procedure?
- Yes. 02WA4NZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02WA4NZ group to?
- Depending on the principal diagnosis, 02WA4NZ can group to MS-DRG 228 and MS-DRG 229.