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ICD-10-PCS 2027 procedure code

005T4ZZDestruction of Spinal Meninges, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Spinal Meninges, 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 005T4ZZ

005T4ZZ is the ICD-10-PCS code for a destruction procedure on the spinal meninges using a percutaneous endoscopic 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 excision or destruction of lesion of spinal cord or spinal meninges, the ICD-9-CM procedure title it maps to (03.4).

For a different body part, codes include 00504ZZ (brain), 00514ZZ (cerebral meninges), 00524ZZ (dura mater), 00564ZZ (cerebral ventricle), 00574ZZ (cerebral hemisphere), 00584ZZ (basal ganglia) and 20 more.

The same procedure with a different approach is coded 005T0ZZ (open) and 005T3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 1 more.

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
TSpinal Meninges

Includes: Arachnoid mater, spinal; Denticulate (dentate) ligament; Dura mater, spinal; Filum terminale; Leptomeninges, spinal; Pia mater, spinal

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
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

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

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

ICD-9-CM equivalent

Converter →
  • 03.4Excision or destruction of lesion of spinal cord or spinal meningesapproximate

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 005T4ZZ

Is 005T4ZZ a valid ICD-10-PCS code for 2027?

Yes. 005T4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 005T4ZZ an O.R. procedure?

Yes. 005T4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 005T4ZZ group to?

Depending on the principal diagnosis, 005T4ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 005T4ZZ?

The CMS GEMs map 005T4ZZ to ICD-9-CM 03.4 (Excision or destruction of lesion of spinal cord or spinal meninges).