009T40Z ICD-10-PCS Code: Drainage of Spinal Meninges with Drainage Device, Percutaneous Endoscopic Approach
Drain of Spinal Meninges with Drain Dev, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System0 | Central Nervous System and Cranial Nerves |
| 3 | Root Operation9 | Drainage Taking or letting out fluids and/or gases from a body part |
| 4 | Body PartT | Spinal Meninges |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device0 | Drainage Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 18 MS-DRGs:
- MDC 01 — Spinal Procedures: DRG 028, DRG 029, DRG 030
- MDC 08 — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator: DRG 518, DRG 519, DRG 520
- MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
- MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
009P40Z — Drainage of Glossopharyngeal Nerve with Drainage Device, Percutaneous Endoscopic Approach, 009Q40Z — Drainage of Vagus Nerve with Drainage Device, Percutaneous Endoscopic Approach, 009R40Z — Drainage of Accessory Nerve with Drainage Device, Percutaneous Endoscopic Approach, 009S40Z — Drainage of Hypoglossal Nerve with Drainage Device, Percutaneous Endoscopic Approach, 009U40Z — Drainage of Spinal Canal with Drainage Device, Percutaneous Endoscopic Approach, 009W40Z — Drainage of Cervical Spinal Cord with Drainage Device, Percutaneous Endoscopic Approach, 009X40Z — Drainage of Thoracic Spinal Cord with Drainage Device, Percutaneous Endoscopic Approach, 009Y40Z — Drainage of Lumbar Spinal Cord with Drainage Device, Percutaneous Endoscopic Approach, +22 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
009T00Z — Drainage of Spinal Meninges with Drainage Device, Open Approach, 009T30Z — Drainage of Spinal Meninges with Drainage Device, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
009T4ZZ — Drainage of Spinal Meninges, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Other CNS drainage and related procedures (Central Nervous System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0020X0Z — Change Drainage Device in Brain, External Approach, 002EX0Z — Change Drainage Device in Cranial Nerve, External Approach, 00C00ZZ — Extirpation of Matter from Brain, Open Approach, 00C03ZZ — Extirpation of Matter from Brain, Percutaneous Approach, 00C04ZZ — Extirpation of Matter from Brain, Percutaneous Endoscopic Approach, 00C10ZZ — Extirpation of Matter from Cerebral Meninges, Open Approach, 00C13ZZ — Extirpation of Matter from Cerebral Meninges, Percutaneous Approach, 00C14ZZ — Extirpation of Matter from Cerebral Meninges, Percutaneous Endoscopic Approach, 00C20ZZ — Extirpation of Matter from Dura Mater, Open Approach, 00C23ZZ — Extirpation of Matter from Dura Mater, Percutaneous Approach, 00C24ZZ — Extirpation of Matter from Dura Mater, Percutaneous Endoscopic Approach, 00C50ZZ — Extirpation of Matter from Intracranial Subarachnoid Space, Open Approach, 00C53ZZ — Extirpation of Matter from Intracranial Subarachnoid Space, Percutaneous Approach, 00C54ZZ — Extirpation of Matter from Intracranial Subarachnoid Space, Percutaneous Endoscopic Approach, 00C60ZZ — Extirpation of Matter from Cerebral Ventricle, Open Approach, 00C63ZZ — Extirpation of Matter from Cerebral Ventricle, Percutaneous Approach, 00C64ZZ — Extirpation of Matter from Cerebral Ventricle, Percutaneous Endoscopic Approach, 00C70ZZ — Extirpation of Matter from Cerebral Hemisphere, Open Approach, 00C73ZZ — Extirpation of Matter from Cerebral Hemisphere, Percutaneous Approach, 00C74ZZ — Extirpation of Matter from Cerebral Hemisphere, Percutaneous Endoscopic Approach, +112 more
Contextual Map
Every relationship of 009T40Z in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
PCS table
- 009[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Central Nervous System and Cranial Nerves — Body System: Central Nervous System and Cranial Nerves[Body System]: “Central Nervous System and Cranial Nerves”
- Drainage — Operation: Drainage[Operation]: “Drainage”
MS-DRG participation (18)
- DRG 028 — SPINAL PROCEDURES WITH MCC[MS-DRG]: “SPINAL PROCEDURES WITH MCC — Spinal Procedures (MDC 01)”
- DRG 029 — SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS[MS-DRG]: “SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — Spinal Procedures (MDC 01)”
- DRG 030 — SPINAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “SPINAL PROCEDURES WITHOUT CC/MCC — Spinal Procedures (MDC 01)”
- DRG 518 — BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR[MS-DRG]: “BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator (MDC 08)”
- DRG 519 — BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC[MS-DRG]: “BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator (MDC 08)”
- DRG 520 — BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC[MS-DRG]: “BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator (MDC 08)”
- DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
- DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
- and 10 more
Clinical classification (CCSR)
- CNS006 — Other CNS drainage and related procedures[CCSR category]: “Other CNS drainage and related procedures — Central Nervous System Procedures”
MDC crossing · diagnoses (28642)
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 009T40Z + A02.21 together
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 009T40Z + A06.6 together
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 009T40Z + A17.0 together
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 009T40Z + A17.1 together
- A17.81 — Tuberculoma of brain and spinal cord[Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 009T40Z + A17.81 together
- and 28637 more
Nearest codes
- 009040Z — Drainage of Brain with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
- 009140Z — Drainage of Cerebral Meninges with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
- 009240Z — Drainage of Dura Mater with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
- 009340Z — Drainage of Intracranial Epidural Space with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
- 009440Z — Drainage of Intracranial Subdural Space with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
- 009540Z — Drainage of Intracranial Subarachnoid Space with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
- 009640Z — Drainage of Cerebral Ventricle with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
- 009740Z — Drainage of Cerebral Hemisphere with Drainage Device, Percutaneous Endoscopic Approach[One axis away]
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.