00RL07Z ICD-10-PCS Code: Replacement of Abducens Nerve with Autologous Tissue Substitute, Open Approach
Replacement of Abducens Nerve with Autol Sub, Open 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 OperationR | Replacement Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part |
| 4 | Body PartL | Abducens Nerve |
| 5 | Approach0 | Open |
| 6 | Device7 | Autologous Tissue Substitute |
| 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 12 MS-DRGs:
- MDC 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- 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.
00RG07Z — Replacement of Optic Nerve with Autologous Tissue Substitute, Open Approach, 00RH07Z — Replacement of Oculomotor Nerve with Autologous Tissue Substitute, Open Approach, 00RJ07Z — Replacement of Trochlear Nerve with Autologous Tissue Substitute, Open Approach, 00RK07Z — Replacement of Trigeminal Nerve with Autologous Tissue Substitute, Open Approach, 00RM07Z — Replacement of Facial Nerve with Autologous Tissue Substitute, Open Approach, 00RN07Z — Replacement of Acoustic Nerve with Autologous Tissue Substitute, Open Approach, 00RP07Z — Replacement of Glossopharyngeal Nerve with Autologous Tissue Substitute, Open Approach, 00RQ07Z — Replacement of Vagus Nerve with Autologous Tissue Substitute, Open Approach, +7 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
Same operation — other Device
Same table and root operation, differing only in the device character.
00RL0JZ — Replacement of Abducens Nerve with Synthetic Substitute, Open Approach, 00RL0KZ — Replacement of Abducens Nerve with Nonautologous Tissue Substitute, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Meninges repair (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.
00QT4ZZ — Repair Spinal Meninges, Percutaneous Endoscopic Approach, 00QW0ZZ — Repair Cervical Spinal Cord, Open Approach, 00QW3ZZ — Repair Cervical Spinal Cord, Percutaneous Approach, 00QW4ZZ — Repair Cervical Spinal Cord, Percutaneous Endoscopic Approach, 00QX0ZZ — Repair Thoracic Spinal Cord, Open Approach, 00QX3ZZ — Repair Thoracic Spinal Cord, Percutaneous Approach, 00QX4ZZ — Repair Thoracic Spinal Cord, Percutaneous Endoscopic Approach, 00QY0ZZ — Repair Lumbar Spinal Cord, Open Approach, 00QY3ZZ — Repair Lumbar Spinal Cord, Percutaneous Approach, 00QY4ZZ — Repair Lumbar Spinal Cord, Percutaneous Endoscopic Approach, 00U107Z — Supplement Cerebral Meninges with Autologous Tissue Substitute, Open Approach, 00U10JZ — Supplement Cerebral Meninges with Synthetic Substitute, Open Approach, 00U10KZ — Supplement Cerebral Meninges with Nonautologous Tissue Substitute, Open Approach, 00U137Z — Supplement Cerebral Meninges with Autologous Tissue Substitute, Percutaneous Approach, 00U13JZ — Supplement Cerebral Meninges with Synthetic Substitute, Percutaneous Approach, 00U13KZ — Supplement Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Approach, 00U147Z — Supplement Cerebral Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 00U14JZ — Supplement Cerebral Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach, 00U14KZ — Supplement Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00U207Z — Supplement Dura Mater with Autologous Tissue Substitute, Open Approach, +205 more
Contextual Map
Every relationship of 00RL07Z 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 00RL07Z with these 5 related codes in Claim Check
PCS table
- 00R[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
- Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables
MS-DRG participation (12)
- DRG 040 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 041 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 042 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 143 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 144 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 145 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 4 more
Clinical classification (CCSR)
- CNS011 — Meninges repair[CCSR category]: “Meninges repair — Central Nervous System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (10513)
- 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 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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 10508 more
Nearest codes
- 00R107Z — Replacement of Cerebral Meninges with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00R207Z — Replacement of Dura Mater with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00R607Z — Replacement of Cerebral Ventricle with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00RF07Z — Replacement of Olfactory Nerve with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00RG07Z — Replacement of Optic Nerve with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00RH07Z — Replacement of Oculomotor Nerve with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00RJ07Z — Replacement of Trochlear Nerve with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00RK07Z — Replacement of Trigeminal Nerve with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Added to the code setReplacement of Abducens Nerve with Autologous Tissue Substitute, Open ApproachFY2018 changes
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