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ICD-10-PCS 2027 procedure code

018R3ZZDivision of Sacral Nerve, Percutaneous Approach

✓ Valid for 2027O.R. procedure

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 018R3ZZ

018R3ZZ is the ICD-10-PCS code for a division procedure on the sacral nerve using a percutaneous 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 intraspinal nerve root, the ICD-9-CM procedure title it maps to (03.1).

For a different body part, codes include 01803ZZ (cervical plexus), 01813ZZ (cervical nerve), 01823ZZ (phrenic nerve), 01833ZZ (brachial plexus), 01843ZZ (ulnar nerve), 01853ZZ (median nerve) and 16 more.

The same procedure with a different approach is coded 018R0ZZ (open) and 018R4ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 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
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
RSacral Nerve

Includes: Spinal nerve, sacral

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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

ICD-9-CM equivalent

Converter →
  • 03.1Division of intraspinal nerve rootapproximate

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 018R3ZZ

Is 018R3ZZ a valid ICD-10-PCS code for 2027?

Yes. 018R3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 018R3ZZ an O.R. procedure?

Yes. 018R3ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 018R3ZZ group to?

Depending on the principal diagnosis, 018R3ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 018R3ZZ?

The CMS GEMs map 018R3ZZ to ICD-9-CM 03.1 (Division of intraspinal nerve root).