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ICD-10-PCS 2027 procedure code

019L40ZDrainage of Thoracic Sympathetic Nerve with Drainage Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Drainage of Thor Symp Nrv with Drain Dev, 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 019L40Z

019L40Z is the ICD-10-PCS code for a drainage procedure on the thoracic sympathetic nerve using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to other operations on sympathetic nerves or ganglia, the ICD-9-CM procedure title it maps to (05.89).

For a different body part, codes include 019040Z (cervical plexus), 019140Z (cervical nerve), 019240Z (phrenic nerve), 019340Z (brachial plexus), 019440Z (ulnar nerve), 019540Z (median nerve) and 16 more.

The same procedure with a different approach is coded 019L00Z (open) and 019L30Z (percutaneous).

With a different device, use 019L4ZZ (no device).

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
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

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 →
  • 05.89Other operations on sympathetic nerves or gangliaapproximate

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 019L40Z

Is 019L40Z a valid ICD-10-PCS code for 2027?

Yes. 019L40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 019L40Z an O.R. procedure?

Yes. 019L40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 019L40Z group to?

Depending on the principal diagnosis, 019L40Z 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 019L40Z?

The CMS GEMs map 019L40Z to ICD-9-CM 05.89 (Other operations on sympathetic nerves or ganglia).