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ICD-10-PCS 2027 procedure code

00J04ZZInspection of Brain, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00J04ZZ

00J04ZZ is the ICD-10-PCS code for a inspection procedure on the brain using a percutaneous endoscopic approach. In ICD-10-PCS, inspection means visually and/or manually exploring a body part.

In plain terms, this corresponds to other diagnostic procedures on brain and cerebral meninges, the ICD-9-CM procedure title it maps to (01.18).

For a different body part, codes include 00JE4ZZ (cranial nerve), 00JU4ZZ (spinal canal) and 00JV4ZZ (spinal cord).

The same procedure with a different approach is coded 00J00ZZ (open) and 00J03ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
0Central Nervous System and Cranial Nerves
3. Operation
JInspection

Visually and/or manually exploring a body part

Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or through intervening body layers

Includes: Diagnostic arthroscopy, exploratory laparotomy

4. Body Part
0Brain

Includes: Cerebrum; Corpus callosum; Encephalon

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 01.18Other diagnostic procedures on brain and cerebral meningesapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 00J04ZZ

Is 00J04ZZ a valid ICD-10-PCS code for 2027?

Yes. 00J04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00J04ZZ an O.R. procedure?

Yes. 00J04ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00J04ZZ group to?

Depending on the principal diagnosis, 00J04ZZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 820.

What is the ICD-9 procedure code for 00J04ZZ?

The CMS GEMs map 00J04ZZ to ICD-9-CM 01.18 (Other diagnostic procedures on brain and cerebral meninges).