2022 ICD-10-PCS Procedure Code 05P4XMZ

Removal of Neurostimulator Lead from Left Innominate Vein, External Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:05P4XMZ
Short Description:Removal of Neuro Lead from L Innom Vein, Extern Approach
Long Description:Removal of Neurostimulator Lead from Left Innominate Vein, External Approach

05P4XMZ is a billable procedure code used to specify the performance of removal of neurostimulator lead from left innominate vein, external approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 05P4XMZ 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.

Replacement Code

05P4XMZ replaces the following previously assigned ICD-10-PCS code(s):

ICD-10-PCS Details

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 X External

Involves:
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

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.

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 05P4XMZ 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
040PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC013.8648
041PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR012.3497
042PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC011.9012
143OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC032.9798
144OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC031.7615
145OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC031.2246
515OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC083.1406
516OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC081.9628
517OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC081.3982
715OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC122.0216
716OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC121.2758
717OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC121.8006
718OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC121.2346
749OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC132.7138
750OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC131.4638
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9482
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0504
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.371
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4209
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2057
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7361

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 05P4XMZ 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:

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.