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ICD 10 Code 00XR4ZS

Transfer Accessory Nerve to Hypoglossal Nerve, Percutaneous Endoscopic Approach
“Transfer Accessory Nrv to Hypogloss Nrv, Perc Endo Approach” for short

00XR4ZS is a valid billable ICD-10 procedure code for Transfer Accessory Nerve to Hypoglossal Nerve, 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.

Transfer involves:
Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part. The body part transferred remains connected to its vascular and nervous supply

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

Transfer includes:

  • Tendon transfer, skin pedicle flap transfer

Accessory Nerve body part includes:

  • Eleventh cranial nerve
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Peripheral and Cranial Nerve and Other Nervous System Procedures
    • 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
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 00XR4ZS — See Table View

1: Section 0 Medical and Surgical
2: Body System 0 Central Nervous System and Cranial Nerves
3: Root Operation X Transfer
4: Body Part R Accessory Nerve
5: Approach 4 Percutaneous Endoscopic
6: Device Z No Device
7: Qualifier S Hypoglossal Nerve

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.