00RP4KZReplacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 00RP4KZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

00RP4KZ is a billable ICD-10-PCS procedure code for Replacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 12 MS-DRGs. The root operation Replacement involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Meninges repair.

Code Identity

ICD-10-PCS Code
00RP4KZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Short Description
Replace Glossophar Nrv w Nonaut Sub, Perc Endo
Parent Code

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
3OperationRReplacement
4BodyPartPGlossopharyngeal Nerve
5Approach4Percutaneous Endoscopic
6DeviceKNonautologous Tissue Substitute
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Anatomy or device term that leads here
Replacement, Nerve, Glossopharyngeal
Leads to this code's table

To code replacement of the glossopharyngeal nerve, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Nerve, Glossopharyngeal. The index leads to table 00R, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 00RP4KZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CNS011
Meninges repair
Clinical domain: Central Nervous System Procedures

Code History

Replaces previously assigned code(s):
  • 00QP4ZZ — Repair Glossopharyngeal Nerve, Perc Endo Approach

Similar Procedure Codes

Questions About 00RP4KZ

Is 00RP4KZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 00RP4KZ 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 R is the Operation (Replacement); the 4th character P is the BodyPart (Glossopharyngeal Nerve); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 00RP4KZ group to?

On an inpatient stay, Replacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 040, 041, 042, 143, 144, 145, 907, 908, 909, 957, 958, 959, with relative weights from 1.2335 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.