0XH641Z
Insertion of Radioactive Element into Right Upper Extremity, Percutaneous Endoscopic Approach
Insert of Radioact Elem into R Up Extrem, 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 SystemX | Anatomical Regions, Upper Extremities |
| 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 Part6 | Upper Extremity, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device1 | Radioactive Element |
| 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 3 MS-DRGs:
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 0XH641Z 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
- 0XH[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
- 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)”
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
MDC crossing · diagnoses (6394)
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
- D47.Z1 — Post-transplant lymphoproliferative disorder (PTLD) [Same-MDC diagnosis]: “Post-transplant lymphoproliferative disorder (PTLD) — grouped in MDC 21, the diagnosis side of this code's crossing.” · check together
- D78.01 — Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen [Same-MDC diagnosis]: “Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen — grouped in MDC 21, the diagnosis side of this code's crossing.” · check together
- D78.02 — Intraoperative hemorrhage and hematoma of the spleen complicating other procedure [Same-MDC diagnosis]: “Intraoperative hemorrhage and hematoma of the spleen complicating other procedure — grouped in MDC 21, the diagnosis side of this code's crossing.” · check together
- D78.11 — Accidental puncture and laceration of the spleen during a procedure on the spleen [Same-MDC diagnosis]: “Accidental puncture and laceration of the spleen during a procedure on the spleen — grouped in MDC 21, the diagnosis side of this code's crossing.” · check together
- D78.12 — Accidental puncture and laceration of the spleen during other procedure [Same-MDC diagnosis]: “Accidental puncture and laceration of the spleen during other procedure — grouped in MDC 21, the diagnosis side of this code's crossing.” · check together
- and 6389 more
Nearest codes
- 0XH241Z — Insertion of Radioactive Element into Right Shoulder Region, Percutaneous Endoscopic Approach [One axis away]
- 0XH341Z — Insertion of Radioactive Element into Left Shoulder Region, Percutaneous Endoscopic Approach [One axis away]
- 0XH441Z — Insertion of Radioactive Element into Right Axilla, Percutaneous Endoscopic Approach [One axis away]
- 0XH541Z — Insertion of Radioactive Element into Left Axilla, Percutaneous Endoscopic Approach [One axis away]
- 0XH601Z — Insertion of Radioactive Element into Right Upper Extremity, Open Approach [One axis away]
- 0XH631Z — Insertion of Radioactive Element into Right Upper Extremity, Percutaneous Approach [One axis away]
- 0XH643Z — Insertion of Infusion Device into Right Upper Extremity, Percutaneous Endoscopic Approach [One axis away]
- 0XH64YZ — Insertion of Other Device into Right Upper Extremity, Percutaneous Endoscopic Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.