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ICD-10-PCS 2027 procedure code

X05233BDestruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11

✓ Valid for 2027O.R. procedure

Short description: Destruc Cardiac Plex w RF Ablat, Perc, New Tech 11

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About X05233B

X05233B is the ICD-10-PCS code for a destruction procedure on the thoracic sympathetic nerve, cardiac plexus using a percutaneous approach with radiofrequency ablation (qualifier: new technology group 11). 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.

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 was added in FY2026, effective October 1, 2025.

What each character means

1. Section
XNew Technology
2. Body System
0Nervous System
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
2Thoracic Sympathetic Nerve, Cardiac Plexus
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device / Substance / Technology
3Radiofrequency Ablation
7. Qualifier
BNew Technology Group 11

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

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
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about X05233B

Is X05233B a valid ICD-10-PCS code for 2027?

Yes. X05233B is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is X05233B an O.R. procedure?

Yes. X05233B is an O.R. procedure in MS-DRG v44.0.

What DRG does X05233B group to?

Depending on the principal diagnosis, X05233B can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 361 and MS-DRG 362.