005K4ZZDestruction of Trigeminal Nerve, Percutaneous Endoscopic Approach
- Billable / Specific Code
005K4ZZ is a billable ICD-10-PCS procedure code for Destruction of Trigeminal Nerve, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027). The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under CNS excision procedures.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 0 | Central Nervous System and Cranial Nerves |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | K | Trigeminal Nerve |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code crushing of the cranial nerve, open the FY 2027 ICD-10-PCS Alphabetic Index at Crushing, then the subterms nerve, Cranial. The index leads to table 005, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 005K4ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 005K4ZZ
Is 005K4ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Trigeminal Nerve, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 005K4ZZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 0 is the Body System (Central Nervous System and Cranial Nerves); the 3rd character 5 is the Operation (Destruction); the 4th character K is the BodyPart (Trigeminal Nerve); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What is the ICD-9-PCS equivalent of 005K4ZZ?
Under the General Equivalence Mappings, Destruction of Trigeminal Nerve, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 04.2 (Destruction of cranial and peripheral nerves). The mapping is approximate, so confirm it fits the documentation.
