X0HQ3R8 ICD-10-PCS Code: Insertion of Neurostimulator Lead with Paired Stimulation System into Vagus Nerve, Percutaneous Approach, New Technology Group 8
Insert Neur Ld Pr Stim in Vagus Nrv, Perc, New Tech 8
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 | SectionX | New Technology |
| 2 | Body System0 | Nervous System |
| 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 PartQ | Vagus Nerve |
| 5 | Approach3 | Percutaneous |
| 6 | Device / Substance / TechnologyR | Neurostimulator Lead with Paired Stimulation System |
| 7 | New Technology Group8 | New Technology Group 8 |
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 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
- MDC 08 — Other Musculoskeletal System and Connective Tissue O.R. Procedures: DRG 515, DRG 516, DRG 517
- 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 procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under CNS neurostimulator procedures (Central Nervous System 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.
00W00MZ — Revision of Neurostimulator Lead in Brain, Open Approach, 00W03MZ — Revision of Neurostimulator Lead in Brain, Percutaneous Approach, 00W04MZ — Revision of Neurostimulator Lead in Brain, Percutaneous Endoscopic Approach, 00W0XMZ — Revision of Neurostimulator Lead in Brain, External Approach, 00W60MZ — Revision of Neurostimulator Lead in Cerebral Ventricle, Open Approach, 00W63MZ — Revision of Neurostimulator Lead in Cerebral Ventricle, Percutaneous Approach, 00W64MZ — Revision of Neurostimulator Lead in Cerebral Ventricle, Percutaneous Endoscopic Approach, 00W6XMZ — Revision of Neurostimulator Lead in Cerebral Ventricle, External Approach, 00WE0MZ — Revision of Neurostimulator Lead in Cranial Nerve, Open Approach, 00WE3MZ — Revision of Neurostimulator Lead in Cranial Nerve, Percutaneous Approach, 00WE4MZ — Revision of Neurostimulator Lead in Cranial Nerve, Percutaneous Endoscopic Approach, 00WEXMZ — Revision of Neurostimulator Lead in Cranial Nerve, External Approach, 00WU0MZ — Revision of Neurostimulator Lead in Spinal Canal, Open Approach, 00WU3MZ — Revision of Neurostimulator Lead in Spinal Canal, Percutaneous Approach, 00WU4MZ — Revision of Neurostimulator Lead in Spinal Canal, Percutaneous Endoscopic Approach, 00WUXMZ — Revision of Neurostimulator Lead in Spinal Canal, External Approach, 00WV0MZ — Revision of Neurostimulator Lead in Spinal Cord, Open Approach, 00WV3MZ — Revision of Neurostimulator Lead in Spinal Cord, Percutaneous Approach, 00WV4MZ — Revision of Neurostimulator Lead in Spinal Cord, Percutaneous Endoscopic Approach, 00WVXMZ — Revision of Neurostimulator Lead in Spinal Cord, External Approach, +35 more
Contextual Map
Every relationship of X0HQ3R8 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 X0HQ3R8 with these 5 related codes in Claim Check
PCS table
- X0H[PCS table]— CMS ICD-10-PCS tables
- New Technology — Section: New Technology[Section]: “New Technology”— CMS ICD-10-PCS tables
- Nervous System — Body System: Nervous System[Body System]: “Nervous System”— CMS ICD-10-PCS tables
- Insertion — Operation: Insertion[Operation]: “Insertion”— CMS ICD-10-PCS tables
MS-DRG participation (18)
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 143 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 144 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 145 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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
- and 10 more
Clinical classification (CCSR)
- CNS012 — CNS neurostimulator procedures[CCSR category]: “CNS neurostimulator procedures — Central Nervous System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (5935)
- 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.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 5930 more
Change history
- FY2023 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2023
Change history
- FY2023 — October 1, 2022Added to the code setInsertion of Neurostimulator Lead with Paired Stimulation System into Vagus Nerve, Percutaneous Approach, New Technology Group 8FY2023 changes
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