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ICD-10-PCS 2027 procedure code

018M4ZZDivision of Abdominal Sympathetic Nerve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Division of Abdominal 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 018M4ZZ

018M4ZZ is the ICD-10-PCS code for a division procedure on the abdominal 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 and division of nerves to adrenal glands, the ICD-9-CM procedure titles it maps to (05.0 and 07.42).

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 018M0ZZ (open) and 018M3ZZ (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), DRG 362 (Other Circulatory System O.R. Procedures without MCC) and DRG 614 (Adrenal and Pituitary Procedures with CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Circulatory System O.R. Procedures” and “Adrenal and Pituitary 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
MAbdominal Sympathetic Nerve

Includes: Abdominal aortic plexus; Auerbach's (myenteric) plexus; Celiac (solar) plexus; Celiac ganglion; Gastric plexus; Hepatic plexus; Inferior hypogastric plexus; Inferior mesenteric ganglion; Inferior mesenteric plexus; Meissner's (submucous) plexus; Myenteric (Auerbach's) plexus; Pancreatic plexus; Pelvic splanchnic nerve; Renal nerve; Renal plexus; Solar (celiac) plexus; Splenic plexus; Submucous (Meissner's) plexus; Superior hypogastric plexus; Superior mesenteric ganglion; Superior mesenteric plexus; Suprarenal plexus

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

MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Adrenal and Pituitary Procedures

ICD-9-CM equivalent

Converter →
  • 05.0Division of sympathetic nerve or ganglionapproximate
  • 07.42Division of nerves to adrenal glandsapproximate

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 018M4ZZ

Is 018M4ZZ a valid ICD-10-PCS code for 2027?

Yes. 018M4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 018M4ZZ an O.R. procedure?

Yes. 018M4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 018M4ZZ group to?

Depending on the principal diagnosis, 018M4ZZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 361, MS-DRG 362 and MS-DRG 614.

What is the ICD-9 procedure code for 018M4ZZ?

The CMS GEMs map 018M4ZZ to ICD-9-CM 05.0 (Division of sympathetic nerve or ganglion) and 07.42 (Division of nerves to adrenal glands).