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ICD 10 Code 018K4ZZ

Division of Head and Neck Sympathetic Nerve, Percutaneous Endoscopic Approach
“Division of Head Neck Symp Nrv, Perc Endo Approach” for short

018K4ZZ is a valid billable ICD-10 procedure code for Division of Head and Neck Sympathetic 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.

Division involves:
Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part. All or a portion of the body part is separated into two or more portions

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

Division includes:

  • Spinal cordotomy, osteotomy

Head and Neck Sympathetic Nerve body part includes:

  • Cavernous plexus
  • Cervical ganglion
  • Ciliary ganglion
  • Internal carotid plexus
  • Otic ganglion
  • Pterygopalatine (sphenopalatine) ganglion
  • Sphenopalatine (pterygopalatine) ganglion
  • Stellate ganglion
  • Submandibular ganglion
  • Submaxillary ganglion
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 05 Diseases & Disorders of the Circulatory System
    Other Circulatory O.R. Procedures
    • DRG 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

ICD-10-PCS code structure for 018K4ZZ — See Table View

1: Section 0 Medical and Surgical
2: Body System 1 Peripheral Nervous System
3: Root Operation 8 Division
4: Body Part K Head and Neck Sympathetic Nerve
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.