02H40NZInsertion of Intracardiac Pacemaker into Coronary Vein, Open Approach
- Billable / Specific Code
02H40NZ is a billable ICD-10-PCS procedure code for Insertion of Intracardiac Pacemaker into Coronary Vein, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 228, 229. The root operation Insertion involves 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Pacemaker and defibrillator procedures.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 2 | Heart and Great Vessels |
| 3 | Operation | H | Insertion |
| 4 | BodyPart | 4 | Coronary Vein |
| 5 | Approach | 0 | Open |
| 6 | Device | N | Intracardiac Pacemaker |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code cardiac lead of the coronary vein pacemaker, open the FY 2027 ICD-10-PCS Alphabetic Index at Cardiac Lead, then the subterms Pacemaker, Vein, Coronary. The index leads to table 02H, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 02H40NZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
- 02H40DZ — Insertion of Intralum Dev into Cor Vein, Open Approach
Similar Procedure Codes
Questions About 02H40NZ
Is 02H40NZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Insertion of Intracardiac Pacemaker into Coronary Vein, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 02H40NZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 2 is the Body System (Heart and Great Vessels); the 3rd character H is the Operation (Insertion); the 4th character 4 is the BodyPart (Coronary Vein); the 5th character 0 is the Approach (Open); the 6th character N is the Device (Intracardiac Pacemaker); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 02H40NZ group to?
On an inpatient stay, Insertion of Intracardiac Pacemaker into Coronary Vein, Open Approach maps to MS-DRGs 228, 229, with relative weights from 3.4404 to 4.9660. The MS-DRG sets the fixed Medicare payment for the stay.
