X05133ADestruction of Renal Sympathetic Nerve(s) using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 10
- Billable / Specific Code
X05133A is a billable ICD-10-PCS procedure code for Destruction of Renal Sympathetic Nerve(s) using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 10. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 5 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. The Alphabetic Index lists this code under Symplicity Spyral(tm) Renal Denervation System. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Peripheral nerve denervation.
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 | X | New Technology |
| 2 | Body System | 0 | Nervous System |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | 1 | Renal Sympathetic Nerve(s) |
| 5 | Approach | 3 | Percutaneous |
| 6 | Device/Substance/Technology | 3 | Radiofrequency Ablation |
| 7 | Qualifier | A | New Technology Group 10 |
In the ICD-10-PCS Alphabetic Index
The FY 2027 ICD-10-PCS Alphabetic Index refers to X05133A as Symplicity Spyral(tm) Renal Denervation System. These index entries lead to this code:
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
- 015M3ZZ — Destruction of Abdominal Sympathetic Nerve, Perc Approach
Similar Procedure Codes
Questions About X05133A
Is X05133A a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Renal Sympathetic Nerve(s) using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 10 on inpatient claims from October 1, 2026 through September 30, 2027.
What is the ICD-10-PCS code for symplicity Spyral(tm) Renal Denervation System?
The ICD-10-PCS Alphabetic Index lists Symplicity Spyral(tm) Renal Denervation System under code X05133A, Destruction of Renal Sympathetic Nerve(s) using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 10, billable on inpatient claims in fiscal year 2027.
What do the characters in X05133A mean?
The code breaks down character by character: the 1st character X is the Section (New Technology); the 2nd character 0 is the Body System (Nervous System); the 3rd character 5 is the Operation (Destruction); the 4th character 1 is the BodyPart (Renal Sympathetic Nerve(s)); the 5th character 3 is the Approach (Percutaneous); the 6th character 3 is the Device/Substance/Technology (Radiofrequency Ablation); the 7th character A is the Qualifier (New Technology Group 10).
What MS-DRG does X05133A group to?
On an inpatient stay, Destruction of Renal Sympathetic Nerve(s) using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 10 maps to MS-DRGs 040, 041, 042, 361, 362, with relative weights from 1.6757 to 3.7581. The MS-DRG sets the fixed Medicare payment for the stay.
