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ICD 10 Code 00H641Z

Insertion of Radioactive Element into Cerebral Ventricle, Percutaneous Endoscopic Approach
“Insert of Radioact Elem into Cereb Vent, Perc Endo Approach” for short

00H641Z is a valid billable ICD-10 procedure code for Insertion of Radioactive Element into Cerebral Ventricle, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Insertion involves:
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.

Percutaneous Endoscopic approach involves:
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

Insertion includes:

  • Insertion of radioactive implant, insertion of central venous catheter

Cerebral Ventricle body part includes:

  • Aqueduct of Sylvius
  • Cerebral aqueduct (Sylvius)
  • Choroid plexus
  • Ependyma
  • Foramen of Monro (intraventricular)
  • Fourth ventricle
  • Interventricular foramen (Monro)
  • Left lateral ventricle
  • Right lateral ventricle
  • Third ventricle

Radioactive Element device includes:

  • Brachytherapy seeds
  • CivaSheet(R)
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Craniotomy with Major Device Implant or Acute Complex CNS PDX
    • DRG 023 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
    • DRG 024 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITHOUT MCC
  • MDC 01 Diseases & Disorders of the Nervous System
    Craniotomy and Endovascular Intracranial Procedures
    • 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
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Craniotomy for Multiple Significant Trauma
    • DRG 955 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

ICD-10-PCS code structure for 00H641Z — See Table View

1: Section 0 Medical and Surgical
2: Body System 0 Central Nervous System and Cranial Nerves
3: Root Operation H Insertion
4: Body Part 6 Cerebral Ventricle
5: Approach 4 Percutaneous Endoscopic
6: Device 1 Radioactive Element
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.