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Inpatient Procedure Code

00H64MZ

Insertion of Neurostimulator Lead into Cerebral Ventricle, Percutaneous Endoscopic Approach

Insertion of Neuro Lead into Cereb Vent, 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body System0

Central Nervous System and Cranial Nerves

3
Root OperationH

Insertion

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

4
Body Part6

Cerebral Ventricle

5
Approach4

Percutaneous Endoscopic

6
DeviceM

Neurostimulator Lead

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 17 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 00H64MZ 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

  • 00H[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation (17)

  • DRG 023 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR [MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis (MDC 01)”
  • DRG 024 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC [MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis (MDC 01)”
  • DRG 025 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC [MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — Craniotomy and endovascular intracranial procedures (MDC 01)”
  • DRG 026 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC [MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — Craniotomy and endovascular intracranial procedures (MDC 01)”
  • DRG 027 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC [MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — Craniotomy and endovascular intracranial procedures (MDC 01)”
  • 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)”
  • DRG 822 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
  • and 9 more

MDC crossing · diagnoses (3301)

  • 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 17 — Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms [MDC crossing]: “Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms — 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 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 together
  • A17.0 — Tuberculous meningitis [Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.1 — Meningeal tuberculoma [Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · check 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 together
  • and 3296 more

Nearest codes

  • 00H04MZ — Insertion of Neurostimulator Lead into Brain, Percutaneous Endoscopic Approach [One axis away]
  • 00H60MZ — Insertion of Neurostimulator Lead into Cerebral Ventricle, Open Approach [One axis away]
  • 00H63MZ — Insertion of Neurostimulator Lead into Cerebral Ventricle, Percutaneous Approach [One axis away]
  • 00H641Z — Insertion of Radioactive Element into Cerebral Ventricle, Percutaneous Endoscopic Approach [One axis away]
  • 00H642Z — Insertion of Monitoring Device into Cerebral Ventricle, Percutaneous Endoscopic Approach [One axis away]
  • 00H643Z — Insertion of Infusion Device into Cerebral Ventricle, Percutaneous Endoscopic Approach [One axis away]
  • 00H64YZ — Insertion of Other Device into Cerebral Ventricle, Percutaneous Endoscopic Approach [One axis away]
  • 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.