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ICD-10-PCS 2027 procedure code

00PU4YZRemoval of Other Device from Spinal Canal, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Oth Dev from Spinal Canal, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00PU4YZ

00PU4YZ is the ICD-10-PCS code for a removal procedure on the spinal canal using a percutaneous endoscopic approach with other device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other operations on spinal cord and spinal canal structures, the ICD-9-CM procedure title it maps to (03.99).

For a different body part, codes include 00P04YZ (brain), 00P64YZ (cerebral ventricle), 00PE4YZ (cranial nerve) and 00PV4YZ (spinal cord).

The same procedure with a different approach is coded 00PU0YZ (open) and 00PU3YZ (percutaneous).

With a different device, use 00PU40Z (drainage device), 00PU42Z (monitoring device), 00PU43Z (infusion device), 00PU4JZ (synthetic substitute) and 00PU4MZ (neurostimulator lead).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2018, effective October 1, 2017.

What each character means

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

Taking out or off a device from a body part

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. Body Part
USpinal Canal

Includes: Epidural space, spinal; Extradural space, spinal; Subarachnoid space, spinal; Subdural space, spinal; Vertebral canal

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
YOther Device

Includes: Alfapump(R) system

7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 03.99Other operations on spinal cord and spinal canal structuresapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 00PU4YZ

Is 00PU4YZ a valid ICD-10-PCS code for 2027?

Yes. 00PU4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 00PU4YZ?

The CMS GEMs map 00PU4YZ to ICD-9-CM 03.99 (Other operations on spinal cord and spinal canal structures).