00XH4ZJTransfer Oculomotor Nerve to Trochlear Nerve, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 00XH4ZJ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

00XH4ZJ is a billable ICD-10-PCS procedure code for Transfer Oculomotor Nerve to Trochlear Nerve, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 MS-DRGs. The root operation Transfer involves moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under CNS procedures, NEC.

Code Identity

ICD-10-PCS Code
00XH4ZJ
Billable Status
Yes — Valid for Submission
Code Describes
Transfer Oculomotor Nerve to Trochlear Nerve, Percutaneous Endoscopic Approach
Short Description
Transfer Oculomotor Nrv to Trochlear Nrv, Perc Endo Approac
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
3OperationXTransfer
4BodyPartHOculomotor Nerve
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierJTrochlear Nerve

In the ICD-10-PCS Alphabetic Index

These FY 2026 ICD-10-PCS Alphabetic Index entries lead to this code:

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

To code transfer of the oculomotor nerve, open the FY 2026 ICD-10-PCS Alphabetic Index at Transfer, then the subterms Nerve, Oculomotor. The index leads to table 00X, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 00XH4ZJ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CNS014
CNS procedures, NEC
Clinical domain: Central Nervous System Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

04.6
Transposition of cranial and peripheral nerves
Approximate match.
04.74
Other anastomosis of cranial or peripheral nerve
Approximate match.

Similar Procedure Codes

Questions About 00XH4ZJ

Is 00XH4ZJ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Transfer Oculomotor Nerve to Trochlear Nerve, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 00XH4ZJ 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 X is the Operation (Transfer); the 4th character H is the BodyPart (Oculomotor Nerve); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character J is the Qualifier (Trochlear Nerve).

What MS-DRG does 00XH4ZJ group to?

On an inpatient stay, Transfer Oculomotor Nerve to Trochlear Nerve, Percutaneous Endoscopic Approach maps to MS-DRGs 040, 041, 042, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 00XH4ZJ?

Under the General Equivalence Mappings, Transfer Oculomotor Nerve to Trochlear Nerve, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 04.6 (Transposition of cranial and peripheral nerves) and 04.74 (Other anastomosis of cranial or peripheral nerve). The mapping is approximate, so confirm it fits the documentation.