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ICD-10-PCS 2027 procedure code

018L4ZZDivision of Thoracic Sympathetic Nerve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Division of Thoracic Sympathetic 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 018L4ZZ

018L4ZZ is the ICD-10-PCS code for a division procedure on the thoracic sympathetic nerve using a percutaneous endoscopic approach. In ICD-10-PCS, division means cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part.

In plain terms, this corresponds to division of sympathetic nerve or ganglion, the ICD-9-CM procedure title it maps to (05.0).

For a different body part, codes include 01804ZZ (cervical plexus), 01814ZZ (cervical nerve), 01824ZZ (phrenic nerve), 01834ZZ (brachial plexus), 01844ZZ (ulnar nerve), 01854ZZ (median nerve) and 16 more.

The same procedure with a different approach is coded 018L0ZZ (open) and 018L3ZZ (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 361 (Other Circulatory System O.R. Procedures with MCC) and DRG 362 (Other Circulatory System O.R. Procedures without MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System 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
8Division

Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part

All or a portion of the body part is separated into two or more portions

Includes: Spinal cordotomy, osteotomy

4. Body Part
LThoracic Sympathetic Nerve

Includes: Cardiac plexus; Esophageal plexus; Greater splanchnic nerve; Inferior cardiac nerve; Least splanchnic nerve; Lesser splanchnic nerve; Middle cardiac nerve; Pulmonary plexus; Superior cardiac nerve; Thoracic aortic plexus; Thoracic ganglion

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

ICD-9-CM equivalent

Converter →
  • 05.0Division of sympathetic nerve or ganglionapproximate

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 018L4ZZ

Is 018L4ZZ a valid ICD-10-PCS code for 2027?

Yes. 018L4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 018L4ZZ an O.R. procedure?

Yes. 018L4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 018L4ZZ group to?

Depending on the principal diagnosis, 018L4ZZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 361 and MS-DRG 362.

What is the ICD-9 procedure code for 018L4ZZ?

The CMS GEMs map 018L4ZZ to ICD-9-CM 05.0 (Division of sympathetic nerve or ganglion).