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ICD-10-PCS 2027 procedure code

00UQ4KZSupplement Vagus Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Vagus Nerve with Nonaut 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 00UQ4KZ

00UQ4KZ is the ICD-10-PCS code for a supplement procedure on the vagus nerve using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of 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 00U14KZ (cerebral meninges), 00U24KZ (dura mater), 00U64KZ (cerebral ventricle), 00UF4KZ (olfactory nerve), 00UG4KZ (optic nerve), 00UH4KZ (oculomotor nerve) and 9 more.

The same procedure with a different approach is coded 00UQ0KZ (open) and 00UQ3KZ (percutaneous).

With a different device, use 00UQ47Z (autologous tissue substitute) and 00UQ4JZ (synthetic 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 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Ear, Nose, Mouth and Throat 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
0Central Nervous System and Cranial Nerves
3. Operation
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
QVagus Nerve

Includes: Anterior vagal trunk; Pharyngeal plexus; Pneumogastric nerve; Posterior vagal trunk; Pulmonary plexus; Recurrent laryngeal nerve; Superior laryngeal nerve; Tenth cranial 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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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.

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 00UQ4KZ

Is 00UQ4KZ a valid ICD-10-PCS code for 2027?

Yes. 00UQ4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00UQ4KZ an O.R. procedure?

Yes. 00UQ4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00UQ4KZ group to?

Depending on the principal diagnosis, 00UQ4KZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 00UQ4KZ?

The CMS GEMs map 00UQ4KZ to ICD-9-CM 04.5 (Cranial or peripheral nerve graft).