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ICD 10 Code 005Y4ZZ

Destruction of Lumbar Spinal Cord, Percutaneous Endoscopic Approach
“Destruction of Lumbar Spinal Cord, Perc Endo Approach” for short

005Y4ZZ is a valid billable ICD-10 procedure code for Destruction of Lumbar Spinal Cord, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Destruction involves:
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

Percutaneous Endoscopic approach involves:
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

Destruction includes:

  • Fulguration of rectal polyp, cautery of skin lesion

Lumbar Spinal Cord body part includes:

  • Cauda equina
  • Conus medullaris
  • Dorsal root ganglion
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Spinal Procedures
    • DRG 028 - SPINAL PROCEDURES WITH MCC
    • DRG 029 - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
    • DRG 030 - SPINAL PROCEDURES WITHOUT CC/MCC
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
    • DRG 518 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
    • DRG 519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
    • DRG 520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Lymphoma and Leukemia with Major Procedure
    • DRG 820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
    • DRG 826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC

ICD-10-PCS code structure for 005Y4ZZ — See Table View

1: Section 0 Medical and Surgical
2: Body System 0 Central Nervous System and Cranial Nerves
3: Root Operation 5 Destruction
4: Body Part Y Lumbar Spinal Cord
5: Approach 4 Percutaneous Endoscopic
6: Device Z No Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.