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ICD-10-PCS 2027 procedure code

01R147ZReplacement of Cervical Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Cerv Nrv with Autol Sub, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 01R147Z

01R147Z is the ICD-10-PCS code for a replacement procedure on the cervical nerve using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to cranial or peripheral nerve graft, the ICD-9-CM procedure title it maps to (04.5).

For a different body part, codes include 01R247Z (phrenic nerve), 01R447Z (ulnar nerve), 01R547Z (median nerve), 01R647Z (radial nerve), 01R847Z (thoracic nerve), 01RB47Z (lumbar nerve) and 6 more.

The same procedure with a different approach is coded 01R107Z (open).

With a different device, use 01R14JZ (synthetic substitute) and 01R14KZ (nonautologous tissue substitute).

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 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
1Peripheral Nervous System
3. Operation
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
1Cervical Nerve

Includes: Greater occipital nerve; Spinal nerve, cervical; Suboccipital nerve; Third occipital 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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 04.5Cranial or peripheral nerve graftapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 01R147Z

Is 01R147Z a valid ICD-10-PCS code for 2027?

Yes. 01R147Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 01R147Z an O.R. procedure?

Yes. 01R147Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 01R147Z group to?

Depending on the principal diagnosis, 01R147Z can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 01R147Z?

The CMS GEMs map 01R147Z to ICD-9-CM 04.5 (Cranial or peripheral nerve graft).