US · guidance
CMS Pub. 100-04, ch. 32, § 50.4.2
Allowable Covered Procedure Codes
The following procedure codes may be present:
If ICD-10-PCS is applicable:
ICD-10-PCS
Code
Code Description
00H00MZ Insertion of Neurostimulator Lead into Brain, Open Approach
00H03MZ Insertion of Neurostimulator Lead into Brain, Percutaneous Approach
00H04MZ Insertion of Neurostimulator Lead into Brain, Endoscopic Approach
00H60MZ Insertion of Neurostimulator Lead into Cerebral Ventricle, Open
Approach
00H63MZ Insertion of Neurostimulator Lead into Cerebral Ventricle,
Percutaneous Approach
00H64MZ Insertion of Neurostimulator Lead into Cerebral Ventricle,
Percutaneous Endoscopic Approach
00P00MZ Removal of Neurostimulator Lead from Brain, Open Approach
00P03MZ Removal of Neurostimulator Lead from Brain, Percutaneous Approach
00P04MZ Removal of Neurostimulator Lead from Brain, Percutaneous
Endoscopic Approach
00P60MZ Removal of Neurostimulator Lead from Cerebral Ventricle, Open
Approach
00P63MZ Removal of Neurostimulator Lead from Cerebral Ventricle,
Percutaneous Approach
00P64MZ Removal of Neurostimulator Lead from Brain, Open Approach
0H80XZZ Division of Scalp Skin, External Approach
0HSSXZZ Reposition Hair, External Approach
Coverage policy may be found in the National Coverage Determinations Manual in Chapter 1, section
160.24: Deep Brain Stimulation, using the following link:
(http://www.cms.hhs.gov/manuals/103_cov_determ/ncd103index.asp).
History
(Rev. 11021; Issued: 10-01-21; Effective: 10-29-21; Implementation: 10-29-21)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ad76bc21e656394c9a1fa064ef3230ea9aefc59e1740f04861fcbdb4af2d95d8
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