ICD-10-PCS 2027 procedure code
01BP4ZZExcision of Sacral Sympathetic Nerve, Percutaneous Endoscopic Approach
Short description: Excision of Sacral 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 01BP4ZZ
01BP4ZZ is the ICD-10-PCS code for a excision procedure on the sacral sympathetic nerve using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to Presacral sympathectomy and Periarterial sympathectomy, the ICD-9-CM procedure titles it maps to (05.24 and 05.25).
For a different body part, codes include 01B04ZZ (cervical plexus), 01B14ZZ (cervical nerve), 01B24ZZ (phrenic nerve), 01B34ZZ (brachial plexus), 01B44ZZ (ulnar nerve), 01B54ZZ (median nerve) and 16 more.
The same procedure with a different approach is coded 01BP0ZZ (open) and 01BP3ZZ (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 749 (Other Female Reproductive System O.R. Procedures with CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Circulatory System O.R. Procedures” and “Other Female Reproductive 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
- BExcision
Cutting out or off, without replacement, a portion of a body part
The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Includes: Partial nephrectomy, liver biopsy
- 4. Body Part
- PSacral Sympathetic Nerve
Includes: Ganglion impar (ganglion of Walther); Pelvic splanchnic nerve; Sacral ganglion; Sacral splanchnic nerve
- 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
Different body part
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures
MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
ICD-9-CM equivalent
Converter →From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 01BP4ZZ
Is 01BP4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 01BP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 01BP4ZZ an O.R. procedure?
- Yes. 01BP4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 01BP4ZZ group to?
- Depending on the principal diagnosis, 01BP4ZZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 361, MS-DRG 362 and MS-DRG 749.
What is the ICD-9 procedure code for 01BP4ZZ?
- The CMS GEMs map 01BP4ZZ to ICD-9-CM 05.24 (Presacral sympathectomy) and 05.25 (Periarterial sympathectomy).