Skip to main content
Inpatient Procedure Code

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

Check this code on a claim

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 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:

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

MS-DRG participation (18)

Clinical classification (CCSR)

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

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