00PV4MZ ICD-10-PCS Code: Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Endoscopic Approach
Removal of Neuro Lead from Spinal Cord, 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 OperationP | Removal Taking out or off a device from a body part |
| 4 | Body PartV | Spinal Cord |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceM | Neurostimulator Lead |
| 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 21 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 11 — Other Kidney and Urinary Tract Procedures: DRG 673, DRG 674, DRG 675
- MDC 12 — Other Male Reproductive System O.R. Procedures: DRG 715, DRG 716, DRG 717, DRG 718
- MDC 13 — Other Female Reproductive System O.R. Procedures: DRG 749, DRG 750
- 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.
00P04MZ — Removal of Neurostimulator Lead from Brain, Percutaneous Endoscopic Approach, 00P64MZ — Removal of Neurostimulator Lead from Cerebral Ventricle, Percutaneous Endoscopic Approach, 00PE4MZ — Removal of Neurostimulator Lead from Cranial Nerve, Percutaneous Endoscopic Approach, 00PU4MZ — Removal of Neurostimulator Lead from Spinal Canal, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
00PV0MZ — Removal of Neurostimulator Lead from Spinal Cord, Open Approach, 00PV3MZ — Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Approach, 00PVXMZ — Removal of Neurostimulator Lead from Spinal Cord, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
00PV40Z — Removal of Drainage Device from Spinal Cord, Percutaneous Endoscopic Approach, 00PV42Z — Removal of Monitoring Device from Spinal Cord, Percutaneous Endoscopic Approach, 00PV43Z — Removal of Infusion Device from Spinal Cord, Percutaneous Endoscopic Approach, 00PV47Z — Removal of Autologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach, 00PV4JZ — Removal of Synthetic Substitute from Spinal Cord, Percutaneous Endoscopic Approach, 00PV4KZ — Removal of Nonautologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach, 00PV4YZ — Removal of Other Device from Spinal Cord, 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 CNS neurostimulator 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.
00H64MZ — Insertion of Neurostimulator Lead into Cerebral Ventricle, Percutaneous Endoscopic Approach, 00HE0MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach, 00HE3MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach, 00HE4MZ — Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach, 00HU0MZ — Insertion of Neurostimulator Lead into Spinal Canal, Open Approach, 00HU3MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach, 00HU4MZ — Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Endoscopic Approach, 00HV0MZ — Insertion of Neurostimulator Lead into Spinal Cord, Open Approach, 00HV3MZ — Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Approach, 00HV4MZ — Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Endoscopic Approach, 00W00MZ — Revision of Neurostimulator Lead in Brain, Open Approach, 00W03MZ — Revision of Neurostimulator Lead in Brain, Percutaneous Approach, 00W04MZ — Revision of Neurostimulator Lead in Brain, Percutaneous Endoscopic Approach, 00W0XMZ — Revision of Neurostimulator Lead in Brain, External Approach, 00W60MZ — Revision of Neurostimulator Lead in Cerebral Ventricle, Open Approach, 00W63MZ — Revision of Neurostimulator Lead in Cerebral Ventricle, Percutaneous Approach, 00W64MZ — Revision of Neurostimulator Lead in Cerebral Ventricle, Percutaneous Endoscopic Approach, 00W6XMZ — Revision of Neurostimulator Lead in Cerebral Ventricle, External Approach, 00WE0MZ — Revision of Neurostimulator Lead in Cranial Nerve, Open Approach, 00WE3MZ — Revision of Neurostimulator Lead in Cranial Nerve, Percutaneous Approach, +16 more
Contextual Map
Every relationship of 00PV4MZ 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
- 00P[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”
- Removal — Operation: Removal[Operation]: “Removal”
MS-DRG participation (21)
- 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 673 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC[MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — Other Kidney and Urinary Tract Procedures (MDC 11)”
- DRG 674 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC[MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — Other Kidney and Urinary Tract Procedures (MDC 11)”
- and 13 more
Clinical classification (CCSR)
- CNS012 — CNS neurostimulator procedures[CCSR category]: “CNS neurostimulator procedures — Central Nervous System Procedures”
MDC crossing · diagnoses (28698)
- 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 00PV4MZ + 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 00PV4MZ + 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 00PV4MZ + 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 00PV4MZ + 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 00PV4MZ + A17.81 together
- and 28693 more
Nearest codes
- 00P04MZ — Removal of Neurostimulator Lead from Brain, Percutaneous Endoscopic Approach[One axis away]
- 00P64MZ — Removal of Neurostimulator Lead from Cerebral Ventricle, Percutaneous Endoscopic Approach[One axis away]
- 00PE4MZ — Removal of Neurostimulator Lead from Cranial Nerve, Percutaneous Endoscopic Approach[One axis away]
- 00PU4MZ — Removal of Neurostimulator Lead from Spinal Canal, Percutaneous Endoscopic Approach[One axis away]
- 00PV0MZ — Removal of Neurostimulator Lead from Spinal Cord, Open Approach[One axis away]
- 00PV3MZ — Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Approach[One axis away]
- 00PV40Z — Removal of Drainage Device from Spinal Cord, Percutaneous Endoscopic Approach[One axis away]
- 00PV42Z — Removal of Monitoring Device from Spinal Cord, 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.