04HY42Z ICD-10-PCS Code: Insertion of Monitoring Device into Lower Artery, Percutaneous Endoscopic Approach
Insertion of Monitor Dev into Low Art, 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 System4 | Lower Arteries |
| 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 PartY | Lower Artery |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device2 | Monitoring Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
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 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- 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.
04H042Z — Insertion of Monitoring Device into Abdominal Aorta, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04HY02Z — Insertion of Monitoring Device into Lower Artery, Open Approach, 04HY32Z — Insertion of Monitoring Device into Lower Artery, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
04HY43Z — Insertion of Infusion Device into Lower Artery, Percutaneous Endoscopic Approach, 04HY4DZ — Insertion of Intraluminal Device into Lower Artery, Percutaneous Endoscopic Approach, 04HY4YZ — Insertion of Other Device into Lower Artery, 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 Venous and arterial catheter placement (Cardiovascular 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.
03PY42Z — Removal of Monitoring Device from Upper Artery, Percutaneous Endoscopic Approach, 03PYX2Z — Removal of Monitoring Device from Upper Artery, External Approach, 03WY02Z — Revision of Monitoring Device in Upper Artery, Open Approach, 03WY03Z — Revision of Infusion Device in Upper Artery, Open Approach, 03WY32Z — Revision of Monitoring Device in Upper Artery, Percutaneous Approach, 03WY33Z — Revision of Infusion Device in Upper Artery, Percutaneous Approach, 03WY42Z — Revision of Monitoring Device in Upper Artery, Percutaneous Endoscopic Approach, 03WY43Z — Revision of Infusion Device in Upper Artery, Percutaneous Endoscopic Approach, 03WYX2Z — Revision of Monitoring Device in Upper Artery, External Approach, 03WYX3Z — Revision of Infusion Device in Upper Artery, External Approach, 04PY02Z — Removal of Monitoring Device from Lower Artery, Open Approach, 04PY32Z — Removal of Monitoring Device from Lower Artery, Percutaneous Approach, 04PY42Z — Removal of Monitoring Device from Lower Artery, Percutaneous Endoscopic Approach, 04PYX2Z — Removal of Monitoring Device from Lower Artery, External Approach, 04WY02Z — Revision of Monitoring Device in Lower Artery, Open Approach, 04WY03Z — Revision of Infusion Device in Lower Artery, Open Approach, 04WY32Z — Revision of Monitoring Device in Lower Artery, Percutaneous Approach, 04WY33Z — Revision of Infusion Device in Lower Artery, Percutaneous Approach, 04WY42Z — Revision of Monitoring Device in Lower Artery, Percutaneous Endoscopic Approach, 04WY43Z — Revision of Infusion Device in Lower Artery, Percutaneous Endoscopic Approach, +432 more
Contextual Map
Every relationship of 04HY42Z 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.
Run 04HY42Z with these 5 related codes in Claim Check
PCS table
- 04H[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Arteries — Body System: Lower Arteries[Body System]: “Lower Arteries”— CMS ICD-10-PCS tables
- Insertion — Operation: Insertion[Operation]: “Insertion”— CMS ICD-10-PCS tables
MS-DRG participation (18)
- DRG 252 — OTHER VASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 253 — OTHER VASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH CC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 254 — OTHER VASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 629 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 630 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 10 more
Clinical classification (CCSR)
- CAR024 — Venous and arterial catheter placement[CCSR category]: “Venous and arterial catheter placement — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (3149)
- 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.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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.”— CMS MS-DRG Definitions Manual · FY2027
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 3144 more
Nearest codes
- 04H042Z — Insertion of Monitoring Device into Abdominal Aorta, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04HY02Z — Insertion of Monitoring Device into Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04HY32Z — Insertion of Monitoring Device into Lower Artery, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 04HY43Z — Insertion of Infusion Device into Lower Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04HY4DZ — Insertion of Intraluminal Device into Lower Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04HY4YZ — Insertion of Other Device into Lower Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources