2022 ICD-10-PCS Procedure Code 05P43MZ
Removal of Neurostimulator Lead from Left Innominate Vein, Percutaneous Approach

Version 2022

Billable Code

ICD-10-PCS:	05P43MZ
Short Description:	Removal of Neuro Lead from L Innom Vein, Perc Approach
Long Description:	Removal of Neurostimulator Lead from Left Innominate Vein, Percutaneous Approach
Status:	Valid for Submission

ICD-10-PCS Details

05P43MZ is a billable procedure code used to specify the performance of removal of neurostimulator lead from left innominate vein, percutaneous approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 05P43MZ is in the medical and surgical section and is part of the upper veins body system, classified under the removal operation. The applicable bodypart is innominate vein, left.

Position	Designation	Character	Label	Notes
1	Section	0	Medical and Surgical
2	Body System	5	Upper Veins
3	Operation	P	Removal	Involves: Taking out or off a device from a body part Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL Includes: Drainage tube removal, cardiac pacemaker removal
4	BodyPart	4	Innominate Vein, Left	Includes: Brachiocephalic vein Inferior thyroid vein
5	Approach	3	Percutaneous	Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
6	Device	M	Neurostimulator Lead
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Replacement Code

05P43MZ replaces the following previously assigned ICD-10-PCS code(s):

01PY3MZ - Removal of Neuro Lead from Periph Nrv, Perc Approach
01PY3MZ - Removal of Neuro Lead from Periph Nrv, Perc Approach
01PY3MZ - Removal of Neuro Lead from Periph Nrv, Perc Approach

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 05P43MZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG	MS-DRG Title	MCD	Relative Weight
040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	01	3.8648
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	01	2.3497
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	01	1.9012
143	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC	03	2.9798
144	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC	03	1.7615
145	OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC	03	1.2246
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	08	3.1406
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	08	1.9628
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	08	1.3982
715	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC	12	2.0216
716	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC	12	1.2758
717	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC	12	1.8006
718	OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC	12	1.2346
749	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC	13	2.7138
750	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	13	1.4638
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	21	3.9482
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	21	2.0504
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	21	1.371
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	24	7.4209
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	24	4.2057
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	24	2.7361

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 05P43MZ to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 493 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Related Codes

ICD-10-PCS Code	Description	Valid for Submission
05P40MZ	Removal of Neurostimulator Lead from Left Innominate Vein, Open Approach	BILLABLE CODE
05P44MZ	Removal of Neurostimulator Lead from Left Innominate Vein, Percutaneous Endoscopic Approach	BILLABLE CODE
05P4XMZ	Removal of Neurostimulator Lead from Left Innominate Vein, External Approach	BILLABLE CODE

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.

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