ICD-10-PCS 2027 procedure code
008W4ZZDivision of Cervical Spinal Cord, Percutaneous Endoscopic Approach
Short description: Division of Cervical Spinal Cord, 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 008W4ZZ
008W4ZZ is the ICD-10-PCS code for a division procedure on the cervical spinal cord using a percutaneous endoscopic approach. In ICD-10-PCS, division means cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part.
In plain terms, this corresponds to percutaneous chordotomy, the ICD-9-CM procedure title it maps to (03.21).
For a different body part, codes include 00804ZZ (brain), 00874ZZ (cerebral hemisphere), 00884ZZ (basal ganglia), 008F4ZZ (olfactory nerve), 008G4ZZ (optic nerve), 008H4ZZ (oculomotor nerve) and 11 more.
The same procedure with a different approach is coded 008W0ZZ (open) and 008W3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), DRG 424 (Other Hepatobiliary or Pancreas O.R. Procedures with CC) and DRG 425 (Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC), under the surgical categories “Spinal Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 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
- 0Central Nervous System and Cranial Nerves
- 3. Operation
- 8Division
Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
All or a portion of the body part is separated into two or more portions
Includes: Spinal cordotomy, osteotomy
- 4. Body Part
- WCervical Spinal Cord
Includes: Dorsal root 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
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 · Spinal Procedures
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Other Hepatobiliary or Pancreas O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 03.21Percutaneous chordotomyapproximate
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 008W4ZZ
Is 008W4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 008W4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 008W4ZZ an O.R. procedure?
- Yes. 008W4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 008W4ZZ group to?
- Depending on the principal diagnosis, 008W4ZZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 423, MS-DRG 424 and MS-DRG 425.
What is the ICD-9 procedure code for 008W4ZZ?
- The CMS GEMs map 008W4ZZ to ICD-9-CM 03.21 (Percutaneous chordotomy).