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ICD-10-PCS 2027 procedure code

0N554ZZDestruction of Right Temporal Bone, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Right Temporal Bone, 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 0N554ZZ

0N554ZZ is the ICD-10-PCS code for a destruction procedure on the right temporal bone using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other craniectomy, the ICD-9-CM procedure title it maps to (01.25).

For a different body part, codes include 0N504ZZ (skull), 0N514ZZ (frontal bone), 0N534ZZ (right parietal bone), 0N544ZZ (left parietal bone), 0N564ZZ (left temporal bone), 0N574ZZ (occipital bone) and 16 more.

The same procedure with a different approach is coded 0N550ZZ (open) and 0N553ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures” and 5 more.

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
NHead and Facial Bones
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
5Temporal Bone, Right
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 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 01.25Other craniectomyapproximate

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 0N554ZZ

Is 0N554ZZ a valid ICD-10-PCS code for 2027?

Yes. 0N554ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0N554ZZ an O.R. procedure?

Yes. 0N554ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0N554ZZ group to?

Depending on the principal diagnosis, 0N554ZZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 143.

What is the ICD-9 procedure code for 0N554ZZ?

The CMS GEMs map 0N554ZZ to ICD-9-CM 01.25 (Other craniectomy).