ICD-10-PCS 2027 procedure code

02HL4KZInsertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Defib Lead into L Ventricle, Perc Endo Approach

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 02HL4KZ

02HL4KZ is the ICD-10-PCS code for a insertion procedure on the left ventricle using a percutaneous endoscopic approach with cardiac lead, defibrillator. In ICD-10-PCS, insertion means 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 plain terms, this corresponds to implantation of automatic cardioverter/defibrillator lead(s) only, the ICD-9-CM procedure title it maps to (37.95).

For a different body part, codes include 02H44KZ (coronary vein), 02H64KZ (right atrium), 02H74KZ (left atrium), 02HK4KZ (right ventricle) and 02HN4KZ (pericardium).

The same procedure with a different approach is coded 02HL0KZ (open) and 02HL3KZ (percutaneous).

With a different device, use 02HL40Z (monitoring device, pressure sensor), 02HL42Z (monitoring device), 02HL43Z (infusion device), 02HL4DZ (intraluminal device), 02HL4JZ (cardiac lead, pacemaker), 02HL4MZ (cardiac lead) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 265 (AICD Lead Procedures) and DRG 275 (Cardiac Defibrillator Implant with Cardiac Catheterization and MCC), under the surgical categories “AICD Lead Procedures” and “Cardiac Defibrillator Implant with Cardiac Catheterization”.

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

2Heart and Great Vessels

3. Operation

HInsertion

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

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part

LVentricle, Left

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

KCardiac Lead, Defibrillator

7. Qualifier

ZNo Qualifier

Other versions of this procedure

Different body part

Different approach

Different device

MS-DRG v44.0 grouping

All DRGs →

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

MDC 05 · Diseases and Disorders of the Circulatory System · AICD Lead Procedures

265AICD Lead ProceduresRW 3.2564