018Q0ZZ ICD-10-PCS Code: Division of Sacral Plexus, 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 System1 | Peripheral Nervous System |
| 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 PartQ | Sacral Plexus |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
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 08 — Other Musculoskeletal System and Connective Tissue O.R. Procedures: DRG 515, DRG 516, DRG 517
- 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.
018G0ZZ — Division of Tibial Nerve, Open Approach, 018H0ZZ — Division of Peroneal Nerve, Open Approach, 018K0ZZ — Division of Head and Neck Sympathetic Nerve, Open Approach, 018L0ZZ — Division of Thoracic Sympathetic Nerve, Open Approach, 018M0ZZ — Division of Abdominal Sympathetic Nerve, Open Approach, 018N0ZZ — Division of Lumbar Sympathetic Nerve, Open Approach, 018P0ZZ — Division of Sacral Sympathetic Nerve, Open Approach, 018R0ZZ — Division of Sacral Nerve, Open Approach, +14 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
018Q3ZZ — Division of Sacral Plexus, Percutaneous Approach, 018Q4ZZ — Division of Sacral Plexus, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Peripheral nerve denervation (Peripheral 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.
015N4ZZ — Destruction of Lumbar Sympathetic Nerve, Percutaneous Endoscopic Approach, 015P0ZZ — Destruction of Sacral Sympathetic Nerve, Open Approach, 015P3ZZ — Destruction of Sacral Sympathetic Nerve, Percutaneous Approach, 015P4ZZ — Destruction of Sacral Sympathetic Nerve, Percutaneous Endoscopic Approach, 015Q0ZZ — Destruction of Sacral Plexus, Open Approach, 015Q3ZZ — Destruction of Sacral Plexus, Percutaneous Approach, 015Q4ZZ — Destruction of Sacral Plexus, Percutaneous Endoscopic Approach, 015R0ZZ — Destruction of Sacral Nerve, Open Approach, 015R3ZZ — Destruction of Sacral Nerve, Percutaneous Approach, 015R4ZZ — Destruction of Sacral Nerve, Percutaneous Endoscopic Approach, 01B00ZZ — Excision of Cervical Plexus, Open Approach, 01B03ZZ — Excision of Cervical Plexus, Percutaneous Approach, 01B04ZZ — Excision of Cervical Plexus, Percutaneous Endoscopic Approach, 01B10ZZ — Excision of Cervical Nerve, Open Approach, 01B13ZZ — Excision of Cervical Nerve, Percutaneous Approach, 01B14ZZ — Excision of Cervical Nerve, Percutaneous Endoscopic Approach, 01B20ZZ — Excision of Phrenic Nerve, Open Approach, 01B23ZZ — Excision of Phrenic Nerve, Percutaneous Approach, 01B24ZZ — Excision of Phrenic Nerve, Percutaneous Endoscopic Approach, 01B30ZZ — Excision of Brachial Plexus, Open Approach, +190 more
Contextual Map
Every relationship of 018Q0ZZ 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 018Q0ZZ with these 5 related codes in Claim Check
PCS table
- 018[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Peripheral Nervous System — Body System: Peripheral Nervous System[Body System]: “Peripheral Nervous System”— CMS ICD-10-PCS tables
- Division — Operation: Division[Operation]: “Division”— 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- DRG 515 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 516 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 517 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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) · FY2026
- 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) · FY2026
- and 4 more
Clinical classification (CCSR)
- PNS005 — Peripheral nerve denervation[CCSR category]: “Peripheral nerve denervation — Peripheral Nervous System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (34371)
- 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 · FY2026
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — 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 · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- and 34366 more
Nearest codes
- 01800ZZ — Division of Cervical Plexus, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 01810ZZ — Division of Cervical Nerve, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 01820ZZ — Division of Phrenic Nerve, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 01830ZZ — Division of Brachial Plexus, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 01840ZZ — Division of Ulnar Nerve, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 01850ZZ — Division of Median Nerve, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 01860ZZ — Division of Radial Nerve, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 01880ZZ — Division of Thoracic Nerve, Open 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 FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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