00RQ47ZReplacement of Vagus Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
00RQ47Z is a billable ICD-10-PCS procedure code for Replacement of Vagus Nerve with Autologous 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
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 | R | Replacement |
| 4 | BodyPart | Q | Vagus Nerve |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | 7 | Autologous Tissue Substitute |
| 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 replacement of the vagus nerve, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Nerve, Vagus. The index leads to table 00R, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 00RQ47Z.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
- 00QQ4ZZ — Repair Vagus Nerve, Percutaneous Endoscopic Approach
Similar Procedure Codes
Questions About 00RQ47Z
Is 00RQ47Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Vagus Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 00RQ47Z 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 Q is the BodyPart (Vagus Nerve); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 00RQ47Z group to?
On an inpatient stay, Replacement of Vagus Nerve with Autologous 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.
