ICD-10-PCS 2027 procedure code
01DP4ZZExtraction of Sacral Sympathetic Nerve, Percutaneous Endoscopic Approach
Short description: Extraction 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 01DP4ZZ
01DP4ZZ is the ICD-10-PCS code for a extraction procedure on the sacral 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 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 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 01DP0ZZ (open) and 01DP3ZZ (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
- 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
- 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
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 01DP4ZZ
Is 01DP4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 01DP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 01DP4ZZ an O.R. procedure?
- Yes. 01DP4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 01DP4ZZ group to?
- Depending on the principal diagnosis, 01DP4ZZ 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 01DP4ZZ?
- The CMS GEMs map 01DP4ZZ to ICD-9-CM 05.24 (Presacral sympathectomy) and 05.25 (Periarterial sympathectomy).