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ICD-10-PCS 2027 procedure code

01DL4ZZExtraction of Thoracic Sympathetic Nerve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extraction 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 01DL4ZZ

01DL4ZZ is the ICD-10-PCS code for a extraction procedure on the thoracic sympathetic nerve using a percutaneous endoscopic approach. In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

In plain terms, this corresponds to Periarterial sympathectomy and other sympathectomy and ganglionectomy, the ICD-9-CM procedure titles it maps to (05.25 and 05.29).

For a different body part, codes include 01D04ZZ (cervical plexus), 01D14ZZ (cervical nerve), 01D24ZZ (phrenic nerve), 01D34ZZ (brachial plexus), 01D44ZZ (ulnar nerve), 01D54ZZ (median nerve) and 16 more.

The same procedure with a different approach is coded 01DL0ZZ (open) and 01DL3ZZ (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
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

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

Includes: Dilation and curettage, vein stripping

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 →
  • 05.25Periarterial sympathectomyapproximate
  • 05.29Other sympathectomy and ganglionectomyapproximate

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 01DL4ZZ

Is 01DL4ZZ a valid ICD-10-PCS code for 2027?

Yes. 01DL4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 01DL4ZZ an O.R. procedure?

Yes. 01DL4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 01DL4ZZ group to?

Depending on the principal diagnosis, 01DL4ZZ 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 01DL4ZZ?

The CMS GEMs map 01DL4ZZ to ICD-9-CM 05.25 (Periarterial sympathectomy) and 05.29 (Other sympathectomy and ganglionectomy).