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ICD-10-PCS 2027 procedure code

01NN4ZZRelease Lumbar Sympathetic Nerve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Release Lumbar Sympathetic Nerve, 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 01NN4ZZ

01NN4ZZ is the ICD-10-PCS code for a release procedure on the lumbar sympathetic nerve using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to repair of sympathetic nerve or ganglion, the ICD-9-CM procedure title it maps to (05.81).

For a different body part, codes include 01N04ZZ (cervical plexus), 01N14ZZ (cervical nerve), 01N24ZZ (phrenic nerve), 01N34ZZ (brachial plexus), 01N44ZZ (ulnar nerve), 01N54ZZ (median nerve) and 16 more.

The same procedure with a different approach is coded 01NN0ZZ (open) and 01NN3ZZ (percutaneous).

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) and DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), under the surgical category “Peripheral, Cranial Nerve and Other Nervous System Procedures”.

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
1Peripheral Nervous System
3. Operation
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

4. Body Part
NLumbar Sympathetic Nerve

Includes: Lumbar ganglion; Lumbar splanchnic 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
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.

ICD-9-CM equivalent

Converter →
  • 05.81Repair of sympathetic nerve or ganglionapproximate

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 01NN4ZZ

Is 01NN4ZZ a valid ICD-10-PCS code for 2027?

Yes. 01NN4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 01NN4ZZ an O.R. procedure?

Yes. 01NN4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 01NN4ZZ group to?

Depending on the principal diagnosis, 01NN4ZZ can group to MS-DRG 040, MS-DRG 041 and MS-DRG 042.

What is the ICD-9 procedure code for 01NN4ZZ?

The CMS GEMs map 01NN4ZZ to ICD-9-CM 05.81 (Repair of sympathetic nerve or ganglion).