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Inpatient Procedure Code

02PA0MZ

Removal of Cardiac Lead from Heart, Open 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 OperationP

Removal

Taking out or off a device from a body part

4
Body PartA

Heart

5
Approach0

Open

6
DeviceM

Cardiac 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 12 MS-DRGs:

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

Related Codes

Same operation — other Approach

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

02PA3MZ — Removal of Cardiac Lead from Heart, Percutaneous Approach, 02PA4MZ — Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach, 02PAXMZ — Removal of Cardiac Lead from Heart, External Approach

Same operation — other Device

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

02PA0CZ — Removal of Extraluminal Device from Heart, Open Approach, 02PA0DZ — Removal of Intraluminal Device from Heart, Open Approach, 02PA0JZ — Removal of Synthetic Substitute from Heart, Open Approach, 02PA0KZ — Removal of Nonautologous Tissue Substitute from Heart, Open Approach, 02PA0NZ — Removal of Intracardiac Pacemaker from Heart, Open Approach, 02PA0QZ — Removal of Implantable Heart Assist System from Heart, Open Approach, 02PA0RZ — Removal of Short-term External Heart Assist System from Heart, Open Approach, 02PA0YZ — Removal of Other Device from Heart, Open Approach, +4 more

Contextual Map

Every relationship of 02PA0MZ 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

  • 02P[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 (12)

  • DRG 040 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
  • DRG 041 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
  • DRG 042 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
  • 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)”
  • DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
  • and 4 more

MDC crossing · diagnoses (10874)

  • 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 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.”
  • 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 10869 more

Nearest codes

  • 02PA02Z — Removal of Monitoring Device from Heart, Open Approach [One axis away]
  • 02PA03Z — Removal of Infusion Device from Heart, Open Approach [One axis away]
  • 02PA07Z — Removal of Autologous Tissue Substitute from Heart, Open Approach [One axis away]
  • 02PA08Z — Removal of Zooplastic Tissue from Heart, Open Approach [One axis away]
  • 02PA0CZ — Removal of Extraluminal Device from Heart, Open Approach [One axis away]
  • 02PA0DZ — Removal of Intraluminal Device from Heart, Open Approach [One axis away]
  • 02PA0JZ — Removal of Synthetic Substitute from Heart, Open Approach [One axis away]
  • 02PA0KZ — Removal of Nonautologous Tissue Substitute from Heart, Open Approach [One axis away]

Change history

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