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ICD-10-PCS 2027 procedure code

005R3ZZDestruction of Accessory Nerve, Percutaneous Approach

✓ Valid for 2027

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 005R3ZZ

005R3ZZ is the ICD-10-PCS code for a destruction procedure on the accessory nerve using a percutaneous approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to destruction of cranial and peripheral nerves, the ICD-9-CM procedure title it maps to (04.2).

For a different body part, codes include 00503ZZ (brain), 00513ZZ (cerebral meninges), 00523ZZ (dura mater), 00563ZZ (cerebral ventricle), 00573ZZ (cerebral hemisphere), 00583ZZ (basal ganglia) and 20 more.

The same procedure with a different approach is coded 005R0ZZ (open) and 005R4ZZ (percutaneous endoscopic).

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

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
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
RAccessory Nerve

Includes: Eleventh cranial nerve

5. Approach
3Percutaneous

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

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 04.2Destruction of cranial and peripheral nervesapproximate

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 005R3ZZ

Is 005R3ZZ a valid ICD-10-PCS code for 2027?

Yes. 005R3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 005R3ZZ?

The CMS GEMs map 005R3ZZ to ICD-9-CM 04.2 (Destruction of cranial and peripheral nerves).