2025 ICD-10-CM Procedure Code 005X0ZZ

Destruction of Thoracic Spinal Cord, Open Approach

ICD-10-PCS Code:: 005X0ZZ
ICD-10-PCS Code for:: Destruction of Thoracic Spinal Cord, Open Approach
Is Billable?: Yes - Valid for Submission
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005X0ZZ is a billable procedure code used to specify the performance of destruction of thoracic spinal cord, open approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. Procedure code explanation: none of the body part is physically taken out fulguration of rectal polyp, cautery of skin lesion

Table of Contents

Code Information
PCS Table
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

005X0ZZ PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the central nervous system and cranial nerves body system, classified under destruction operation. The applicable bodypart for this procedure code is thoracic spinal cord.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	0	Central Nervous System and Cranial Nerves
3	Operation	5	Destruction	Involves: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent Explanation: None of the body part is physically taken out Includes: Fulguration of rectal polyp, cautery of skin lesion
4	BodyPart	X	Thoracic Spinal Cord	Includes: Dorsal root ganglion
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device	Z	No Device	Explanation: The value Z is used for the sixth character to indicate that a specific device does not apply to the procedure.
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Clinical Classification

Clinical Category is CNS excision procedures
CCSR Category Code: CNS007
Clinical Domain is Central Nervous System Procedures - CNS contains 14 categories that include procedures performed on the central nervous system (brain, spinal cord, and CNS nerves) such as spinal cord decompression, lumbar puncture, and spinal epidural catheter placement.

005X0ZZ is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 005X0ZZ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
028	Spinal Procedures with MCC	01
029	Spinal Procedures with CC or Spinal Neurostimulators	01
030	Spinal Procedures without CC/MCC	01
518	Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator	08
519	Back and Neck Procedures Except Spinal Fusion with CC	08
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC	08
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC	17
821	Lymphoma and Leukemia with Major O.R. Procedures with CC	17
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC	17
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC	17
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC	17
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC	17

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 34 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Destruction Thoracic Spinal Cord

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What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.