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ICD-10-PCS 2027 procedure code

015K3ZZDestruction of Head and Neck Sympathetic Nerve, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Head Neck Symp Nrv, Perc 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 015K3ZZ

015K3ZZ is the ICD-10-PCS code for a destruction procedure on the head and neck sympathetic 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 Sphenopalatine ganglionectomy, cervical sympathectomy and Periarterial sympathectomy, the ICD-9-CM procedure titles it maps to (05.21, 05.22 and 05.25).

For a different body part, codes include 01503ZZ (cervical plexus), 01513ZZ (cervical nerve), 01523ZZ (phrenic nerve), 01533ZZ (brachial plexus), 01543ZZ (ulnar nerve), 01553ZZ (median nerve) and 16 more.

The same procedure with a different approach is coded 015K0ZZ (open) and 015K4ZZ (percutaneous endoscopic).

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” and “Other Circulatory System O.R. Procedures”.

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
1Peripheral Nervous System
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
KHead and Neck Sympathetic Nerve

Includes: Cavernous plexus; Cervical ganglion; Ciliary ganglion; Internal carotid plexus; Otic ganglion; Pterygopalatine (sphenopalatine) ganglion; Sphenopalatine (pterygopalatine) ganglion; Stellate ganglion; Submandibular ganglion; Submaxillary ganglion

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 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 05.21Sphenopalatine ganglionectomyapproximate
  • 05.22Cervical sympathectomyapproximate
  • 05.25Periarterial sympathectomyapproximate

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 015K3ZZ

Is 015K3ZZ a valid ICD-10-PCS code for 2027?

Yes. 015K3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 015K3ZZ an O.R. procedure?

Yes. 015K3ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 015K3ZZ group to?

Depending on the principal diagnosis, 015K3ZZ 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 015K3ZZ?

The CMS GEMs map 015K3ZZ to ICD-9-CM 05.21 (Sphenopalatine ganglionectomy), 05.22 (Cervical sympathectomy) and 05.25 (Periarterial sympathectomy).