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Inpatient Procedure Code

02HN4JZICD-10-PCS Code: Insertion of Pacemaker Lead into Pericardium, Percutaneous Endoscopic Approach

Insertion of Pace Lead into Pericardium, 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 System2

Heart and Great Vessels

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 PartN

Pericardium

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Cardiac Lead, Pacemaker

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as a non-operating-room procedure. It appears in the surgical logic of 3 MS-DRGs:

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.

02H44JZ — Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach, 02H64JZ — Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach, 02H74JZ — Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach, 02HK4JZ — Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach, 02HL4JZ — Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

02HN0JZ — Insertion of Pacemaker Lead into Pericardium, Open Approach, 02HN3JZ — Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

02HN40Z — Insertion of Pressure Sensor Monitoring Device into Pericardium, Percutaneous Endoscopic Approach, 02HN42Z — Insertion of Monitoring Device into Pericardium, Percutaneous Endoscopic Approach, 02HN4KZ — Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach, 02HN4MZ — Insertion of Cardiac Lead into Pericardium, Percutaneous Endoscopic Approach, 02HN4YZ — Insertion of Other Device into Pericardium, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 02HN4JZ 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

  • 02H[PCS table]
  • Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
  • Heart and Great Vessels — Body System: Heart and Great Vessels [Body System]: “Heart and Great Vessels”
  • Insertion — Operation: Insertion [Operation]: “Insertion”

MS-DRG participation

  • DRG 260 — CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC [MS-DRG]: “CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — Cardiac Pacemaker Revision Except Device Replacement (MDC 05)”
  • DRG 261 — CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC [MS-DRG]: “CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC — Cardiac Pacemaker Revision Except Device Replacement (MDC 05)”
  • DRG 262 — CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC [MS-DRG]: “CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC — Cardiac Pacemaker Revision Except Device Replacement (MDC 05)”

MDC crossing · diagnoses (1844)

  • MDC 05 — Diseases and Disorders of the Circulatory System [MDC crossing]: “Diseases and Disorders of the Circulatory 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.”
  • A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • and 1839 more

Nearest codes

  • 02H44JZ — Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach [One axis away]
  • 02H64JZ — Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach [One axis away]
  • 02H74JZ — Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach [One axis away]
  • 02HK4JZ — Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach [One axis away]
  • 02HL4JZ — Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach [One axis away]
  • 02HN0JZ — Insertion of Pacemaker Lead into Pericardium, Open Approach [One axis away]
  • 02HN3JZ — Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach [One axis away]
  • 02HN40Z — Insertion of Pressure Sensor Monitoring Device into Pericardium, Percutaneous Endoscopic Approach [One axis away]

Change history

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