008X4ZZ ICD-10-PCS Code: Division of Thoracic Spinal Cord, Percutaneous Endoscopic Approach
Division of Thoracic Spinal Cord, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System0 | Central Nervous System and Cranial Nerves |
| 3 | Root Operation8 | Division Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part |
| 4 | Body PartX | Thoracic Spinal Cord |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 18 MS-DRGs:
- MDC 01 — Spinal Procedures: DRG 028, DRG 029, DRG 030
- MDC 07 — Other Hepatobiliary or Pancreas O.R. Procedures: DRG 423, DRG 424, DRG 425
- MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
- MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
008M4ZZ — Division of Facial Nerve, Percutaneous Endoscopic Approach, 008N4ZZ — Division of Acoustic Nerve, Percutaneous Endoscopic Approach, 008P4ZZ — Division of Glossopharyngeal Nerve, Percutaneous Endoscopic Approach, 008Q4ZZ — Division of Vagus Nerve, Percutaneous Endoscopic Approach, 008R4ZZ — Division of Accessory Nerve, Percutaneous Endoscopic Approach, 008S4ZZ — Division of Hypoglossal Nerve, Percutaneous Endoscopic Approach, 008W4ZZ — Division of Cervical Spinal Cord, Percutaneous Endoscopic Approach, 008Y4ZZ — Division of Lumbar Spinal Cord, Percutaneous Endoscopic Approach, +9 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
008X0ZZ — Division of Thoracic Spinal Cord, Open Approach, 008X3ZZ — Division of Thoracic Spinal Cord, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under CNS procedures, NEC (Central Nervous System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0020XYZ — Change Other Device in Brain, External Approach, 002EXYZ — Change Other Device in Cranial Nerve, External Approach, 002UXYZ — Change Other Device in Spinal Canal, External Approach, 00760ZZ — Dilation of Cerebral Ventricle, Open Approach, 00763ZZ — Dilation of Cerebral Ventricle, Percutaneous Approach, 00764ZZ — Dilation of Cerebral Ventricle, Percutaneous Endoscopic Approach, 00H002Z — Insertion of Monitoring Device into Brain, Open Approach, 00H003Z — Insertion of Infusion Device into Brain, Open Approach, 00H00YZ — Insertion of Other Device into Brain, Open Approach, 00H032Z — Insertion of Monitoring Device into Brain, Percutaneous Approach, 00H033J — Insertion of Infusion Device into Brain, Temporary, Percutaneous Approach, 00H033Z — Insertion of Infusion Device into Brain, Percutaneous Approach, 00H03YZ — Insertion of Other Device into Brain, Percutaneous Approach, 00H042Z — Insertion of Monitoring Device into Brain, Percutaneous Endoscopic Approach, 00H043Z — Insertion of Infusion Device into Brain, Percutaneous Endoscopic Approach, 00H04YZ — Insertion of Other Device into Brain, Percutaneous Endoscopic Approach, 00H602Z — Insertion of Monitoring Device into Cerebral Ventricle, Open Approach, 00H603Z — Insertion of Infusion Device into Cerebral Ventricle, Open Approach, 00H60YZ — Insertion of Other Device into Cerebral Ventricle, Open Approach, 00H633Z — Insertion of Infusion Device into Cerebral Ventricle, Percutaneous Approach, +595 more
Contextual Map
Every relationship of 008X4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 008X4ZZ with these 5 related codes in Claim Check
PCS table
- 008[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Central Nervous System and Cranial Nerves — Body System: Central Nervous System and Cranial Nerves[Body System]: “Central Nervous System and Cranial Nerves”— CMS ICD-10-PCS tables
- Division — Operation: Division[Operation]: “Division”— CMS ICD-10-PCS tables
MS-DRG participation (18)
- DRG 028 — SPINAL PROCEDURES WITH MCC[MS-DRG]: “SPINAL PROCEDURES WITH MCC — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 029 — SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS[MS-DRG]: “SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 030 — SPINAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “SPINAL PROCEDURES WITHOUT CC/MCC — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 423 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 424 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 425 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 10 more
Clinical classification (CCSR)
- CNS014 — CNS procedures, NEC[CCSR category]: “CNS procedures, NEC — Central Nervous System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (3602)
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas[MDC crossing]: “Diseases and Disorders of the Hepatobiliary System and Pancreas — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A17.81 — Tuberculoma of brain and spinal cord[Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 3597 more
Nearest codes
- 00804ZZ — Division of Brain, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00874ZZ — Division of Cerebral Hemisphere, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00884ZZ — Division of Basal Ganglia, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 008F4ZZ — Division of Olfactory Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 008G4ZZ — Division of Optic Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 008H4ZZ — Division of Oculomotor Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 008J4ZZ — Division of Trochlear Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 008K4ZZ — Division of Trigeminal Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources