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ICD-10-PCS 2027 procedure code

0XH643ZInsertion of Infusion Device into Right Upper Extremity, Percutaneous Endoscopic Approach

✓ Valid for 2027Non-O.R. procedure

Short description: Insert of Infusion Dev into R Up Extrem, 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 0XH643Z

0XH643Z is the ICD-10-PCS code for a insertion procedure on the right upper extremity using a percutaneous endoscopic approach with infusion device. 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 other incision of skin and subcutaneous tissue, the ICD-9-CM procedure title it maps to (86.09).

For a different body part, codes include 0XH243Z (right shoulder region), 0XH343Z (left shoulder region), 0XH443Z (right axilla), 0XH543Z (left axilla), 0XH743Z (left upper extremity), 0XH843Z (right upper arm) and 9 more.

The same procedure with a different approach is coded 0XH603Z (open) and 0XH633Z (percutaneous).

With a different device, use 0XH641Z (radioactive element) and 0XH64YZ (other device).

It is a non-O.R. procedure that is part of the MS-DRG logic for DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical category “Other Skin, Subcutaneous Tissue and Breast Procedures”.

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
XAnatomical Regions, Upper Extremities
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
6Upper Extremity, Right
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
3Infusion Device

Includes: Ascenda Intrathecal Catheter; InDura, intrathecal catheter (1P) (spinal); Non-tunneled central venous catheter; Peripherally inserted central catheter (PICC); Tunneled spinal (intrathecal) catheter

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.

ICD-9-CM equivalent

Converter →
  • 86.09Other incision of skin and subcutaneous tissueapproximate

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 0XH643Z

Is 0XH643Z a valid ICD-10-PCS code for 2027?

Yes. 0XH643Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0XH643Z an O.R. procedure?

No. 0XH643Z is designated non-O.R. in MS-DRG v44.0.

What DRG does 0XH643Z group to?

Depending on the principal diagnosis, 0XH643Z can group to MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 0XH643Z?

The CMS GEMs map 0XH643Z to ICD-9-CM 86.09 (Other incision of skin and subcutaneous tissue).