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ICD-10-PCS 2027 procedure code

00DR4ZZExtraction of Accessory Nerve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extraction of Accessory Nerve, 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 00DR4ZZ

00DR4ZZ is the ICD-10-PCS code for a extraction procedure on the accessory nerve using a percutaneous endoscopic approach. In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

In plain terms, this corresponds to other excision or avulsion of cranial and peripheral nerves, the ICD-9-CM procedure title it maps to (04.07).

For a different body part, codes include 00D04ZZ (brain), 00D14ZZ (cerebral meninges), 00D24ZZ (dura mater), 00D74ZZ (cerebral hemisphere), 00DC4ZZ (cerebellum), 00DF4ZZ (olfactory nerve) and 11 more.

The same procedure with a different approach is coded 00DR0ZZ (open) and 00DR3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue 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
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies

Includes: Dilation and curettage, vein stripping

4. Body Part
RAccessory Nerve

Includes: Eleventh cranial nerve

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.

ICD-9-CM equivalent

Converter →
  • 04.07Other excision or avulsion 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 00DR4ZZ

Is 00DR4ZZ a valid ICD-10-PCS code for 2027?

Yes. 00DR4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00DR4ZZ an O.R. procedure?

Yes. 00DR4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00DR4ZZ group to?

Depending on the principal diagnosis, 00DR4ZZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 00DR4ZZ?

The CMS GEMs map 00DR4ZZ to ICD-9-CM 04.07 (Other excision or avulsion of cranial and peripheral nerves).