00XS4ZQTransfer Hypoglossal Nerve to Vagus Nerve, Percutaneous Endoscopic Approach
- Billable / Specific Code
00XS4ZQ is a billable ICD-10-PCS procedure code for Transfer Hypoglossal Nerve to Vagus 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
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 | X | Transfer |
| 4 | BodyPart | S | Hypoglossal Nerve |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Q | Vagus Nerve |
In the ICD-10-PCS Alphabetic Index
These FY 2026 ICD-10-PCS Alphabetic Index entries lead to this code:
To code transfer of the hypoglossal nerve, open the FY 2026 ICD-10-PCS Alphabetic Index at Transfer, then the subterms Nerve, Hypoglossal. The index leads to table 00X, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 00XS4ZQ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 00XS4ZQ
Is 00XS4ZQ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Transfer Hypoglossal Nerve to Vagus Nerve, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 00XS4ZQ 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 S is the BodyPart (Hypoglossal Nerve); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character Q is the Qualifier (Vagus Nerve).
What MS-DRG does 00XS4ZQ group to?
On an inpatient stay, Transfer Hypoglossal Nerve to Vagus 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 00XS4ZQ?
Under the General Equivalence Mappings, Transfer Hypoglossal Nerve to Vagus 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.
