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ICD-10-PCS 2027 procedure code

X05133ADestruction of Renal Sympathetic Nerve(s) using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 10

✓ Valid for 2027O.R. procedure

Short description: Destruc Ren Symp Nv w RF Ablat, Perc, New Tech 10

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About X05133A

X05133A is the ICD-10-PCS code for a destruction procedure on the renal sympathetic nerve(s) using a percutaneous approach with radiofrequency ablation (qualifier: new technology group 10). 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 FY2025, effective October 1, 2024.

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
1Renal Sympathetic Nerve(s)
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
ANew Technology Group 10

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
  • FY2025 (effective 10/1/2024): Added
  • No changes since FY2025.

Common questions about X05133A

Is X05133A a valid ICD-10-PCS code for 2027?

Yes. X05133A is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is X05133A an O.R. procedure?

Yes. X05133A is an O.R. procedure in MS-DRG v44.0.

What DRG does X05133A group to?

Depending on the principal diagnosis, X05133A can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 361 and MS-DRG 362.