X05233BDestruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11
- Billable / Specific Code
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 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 Pulmonary Artery Denervation (PADN) RF (radiofrequency) ablation. 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 | 2 | Thoracic Sympathetic Nerve, Cardiac Plexus |
| 5 | Approach | 3 | Percutaneous |
| 6 | Device/Substance/Technology | 3 | Radiofrequency Ablation |
| 7 | Qualifier | B | New Technology Group 11 |
In the ICD-10-PCS Alphabetic Index
The FY 2027 ICD-10-PCS Alphabetic Index refers to X05233B as Pulmonary Artery Denervation (PADN) RF (radiofrequency) ablation. These index entries lead to this code:
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
- 015L3ZZ — Destruction of Thoracic Sympathetic Nerve, Perc Approach
Similar Procedure Codes
Questions About X05233B
Is X05233B a billable code?
Yes. This 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, 2026 through September 30, 2027.
What is the ICD-10-PCS code for pulmonary Artery Denervation (PADN) RF (radiofrequency) ablation?
The ICD-10-PCS Alphabetic Index lists Pulmonary Artery Denervation (PADN) RF (radiofrequency) ablation under code X05233B, Destruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11, billable on inpatient claims in fiscal year 2027.
What do the characters in X05233B 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 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, 361, 362, with relative weights from 1.6757 to 3.7581. The MS-DRG sets the fixed Medicare payment for the stay.
