00XR4ZMTransfer Accessory Nerve to Facial Nerve, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 00XR4ZM
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

00XR4ZM is a billable ICD-10-PCS procedure code for Transfer Accessory Nerve to Facial Nerve, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 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.

Code Identity

ICD-10-PCS Code
00XR4ZM
Billable Status
Yes — Valid for Submission
Code Describes
Transfer Accessory Nerve to Facial Nerve, Percutaneous Endoscopic Approach
Parent Code
Short Description
Transfer Accessory Nerve to Facial Nerve, Perc Endo Approac

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
4BodyPartRAccessory Nerve
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierMFacial Nerve

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 00XR4ZM under the General Equivalence Mappings.

46
Approximate match.
47.2
Approximate match.

Similar Procedure Codes

Questions About 00XR4ZM

Is 00XR4ZM a billable code?

Yes. 00XR4ZM is a complete seven-character ICD-10-PCS code, specific enough to report Transfer Accessory Nerve to Facial Nerve, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 00XR4ZM mean?

00XR4ZM 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 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 M is the Qualifier (Facial Nerve).

What MS-DRG does 00XR4ZM group to?

On an inpatient stay, Transfer Accessory Nerve to Facial Nerve, Percutaneous Endoscopic Approach maps to MS-DRGs 040, 041, 042, 143, 144, 145, 907, 908, 909, 957, 958, 959, with relative weights from 1.2023 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 00XR4ZM?

Under the General Equivalence Mappings, Transfer Accessory Nerve to Facial Nerve, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 46 and 47.2. The mapping is approximate, so confirm it fits the documentation.