X05233BDestruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11

ICD-10-PCS X05233B
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

X05233B is a billable ICD-10-PCS procedure code for Destruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRGs 040, 041, 042. 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.

Code Identity

ICD-10-PCS Code
X05233B
Billable Status
Yes — Valid for Submission
Code Describes
Destruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11
Parent Code
X05 New Technology, Nervous System, Destruction
Short Description
Destruc Cardiac Plex w RF Ablat, Perc, New Tech 11

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
1SectionXNew Technology
2Body System0Nervous System
3Operation5Destruction
4BodyPart2Thoracic Sympathetic Nerve, Cardiac Plexus
5Approach3Percutaneous
6Device/Substance/Technology3Radiofrequency Ablation
7QualifierBNew Technology Group 11

Code History

FY 2026New code, effective October 1, 2025.
Replaces previously assigned code(s):
  • 015L3ZZ — Destruction of Thoracic Sympathetic Nerve, Perc Approach

Similar Procedure Codes

Questions About X05233B

Is X05233B a billable code?

Yes. X05233B is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11 on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in X05233B mean?

X05233B 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 2 is the BodyPart (Thoracic Sympathetic Nerve, Cardiac Plexus); the 5th character 3 is the Approach (Percutaneous); the 6th character 3 is the Device/Substance/Technology (Radiofrequency Ablation); the 7th character B is the Qualifier (New Technology Group 11).

What MS-DRG does X05233B group to?

On an inpatient stay, Destruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11 maps to MS-DRGs 040, 041, 042, with relative weights from 1.7277 to 3.8612. The MS-DRG sets the fixed Medicare payment for the stay.