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ICD-10-PCS 2027 procedure code

00F53ZZFragmentation in Intracranial Subarachnoid Space, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Fragmentation in Cran Subrac Spc, Perc Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00F53ZZ

00F53ZZ is the ICD-10-PCS code for a fragmentation procedure on the subarachnoid space, intracranial using a percutaneous approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to repair of brain, the ICD-9-CM procedure title it maps to (02.92).

For a different body part, codes include 00F33ZZ (epidural space, intracranial), 00F43ZZ (subdural space, intracranial), 00F63ZZ (cerebral ventricle) and 00FU3ZZ (spinal canal).

The same procedure with a different approach is coded 00F50ZZ (open), 00F54ZZ (percutaneous endoscopic) and 00F5XZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), 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) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Other O.R. Procedures for Injuries” 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
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

4. Body Part
5Subarachnoid Space, Intracranial

Includes: Cisterna Magna

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

MS-DRG v44.0 grouping

All DRGs →

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

MDC 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 02.92Repair of brainapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Fragmentation in Subarachnoid Space, Percutaneous Approach”

Common questions about 00F53ZZ

Is 00F53ZZ a valid ICD-10-PCS code for 2027?

Yes. 00F53ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00F53ZZ an O.R. procedure?

Yes. 00F53ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00F53ZZ group to?

Depending on the principal diagnosis, 00F53ZZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 907.

What is the ICD-9 procedure code for 00F53ZZ?

The CMS GEMs map 00F53ZZ to ICD-9-CM 02.92 (Repair of brain).