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ICD-10-PCS 2027 procedure code

00XL4ZPTransfer Abducens Nerve to Glossopharyngeal Nerve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Transfer Abducen Nrv to Glossophar Nrv, 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 00XL4ZP

00XL4ZP is the ICD-10-PCS code for a transfer procedure on the abducens nerve using a percutaneous endoscopic approach (qualifier: glossopharyngeal nerve). In ICD-10-PCS, transfer means moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part.

In plain terms, this corresponds to transposition of cranial and peripheral nerves and other anastomosis of cranial or peripheral nerve, the ICD-9-CM procedure titles it maps to (04.6 and 04.74).

For a different body part, codes include 00XF4ZP (olfactory nerve), 00XG4ZP (optic nerve), 00XH4ZP (oculomotor nerve), 00XJ4ZP (trochlear nerve), 00XK4ZP (trigeminal nerve), 00XM4ZP (facial nerve) and 5 more.

The same procedure with a different approach is coded 00XL0ZP (open).

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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
XTransfer

Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part

The body part transferred remains connected to its vascular and nervous supply

Includes: Tendon transfer, skin pedicle flap transfer

4. Body Part
LAbducens Nerve

Includes: Sixth 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
PGlossopharyngeal Nerve

Other versions of this procedure

Different approach

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 →
  • 04.6Transposition of cranial and peripheral nervesapproximate
  • 04.74Other anastomosis of cranial or peripheral nerveapproximate

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 00XL4ZP

Is 00XL4ZP a valid ICD-10-PCS code for 2027?

Yes. 00XL4ZP is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00XL4ZP an O.R. procedure?

Yes. 00XL4ZP is an O.R. procedure in MS-DRG v44.0.

What DRG does 00XL4ZP group to?

Depending on the principal diagnosis, 00XL4ZP can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 00XL4ZP?

The CMS GEMs map 00XL4ZP to ICD-9-CM 04.6 (Transposition of cranial and peripheral nerves) and 04.74 (Other anastomosis of cranial or peripheral nerve).