005R4ZZDestruction of Accessory Nerve, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 005R4ZZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

005R4ZZ is a billable ICD-10-PCS procedure code for Destruction of Accessory Nerve, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). 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.

Code Identity

ICD-10-PCS Code
005R4ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Destruction of Accessory Nerve, Percutaneous Endoscopic Approach
Parent Code
Short Description
Destruction of Accessory Nerve, Perc Endo Approach

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.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System0Central Nervous System and Cranial Nerves
3Operation5Destruction
4BodyPartRAccessory Nerve
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 005R4ZZ under the General Equivalence Mappings.

42
Approximate match.

Similar Procedure Codes

Questions About 005R4ZZ

Is 005R4ZZ a billable code?

Yes. 005R4ZZ is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Accessory Nerve, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 005R4ZZ mean?

005R4ZZ 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 R is the BodyPart (Accessory 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 005R4ZZ?

Under the General Equivalence Mappings, Destruction of Accessory Nerve, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 42. The mapping is approximate, so confirm it fits the documentation.