ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 00SG includes procedures performed to reposition structures in the optic nerve. These ICD-10-PCS codes are used for inpatient documentation when surgical movement of all or a portion of the optic nerve is performed to restore normal location or relieve pathological displacement. Accurate coding within the ICD-10-PCS 00SG group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Optic Nerve Reposition Procedure Overview

This procedure group includes repositioning of all or a portion of the optic nerve and targets the central nervous system and cranial nerves. Procedures in this group involve moving the optic nerve to its normal or another suitable location to restore alignment or relieve tension. Accurate coding of these repositioning procedures is important for correct inpatient documentation and appropriate reimbursement because it reflects the specific operation, body system, and clinical complexity involved.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
0	Body System	Central Nervous System and Cranial Nerves
S	Operation	Reposition
G	Body Part	Optic Nerve

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ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview

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Optic Nerve Reposition Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
0	Body System	Central Nervous System and Cranial Nerves
S	Operation	Reposition
G	Body Part	Optic Nerve

When to Use

Use a code from this group when a documented operative action involves moving the optic nerve to correct displacement, relieve traction, or restore anatomical alignment. These codes are selected for inpatient records when the repositioning is the principal procedure performed during the admission.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
00SG0ZZ	Reposition Optic Nerve, Open Approach
00SG3ZZ	Reposition Optic Nerve, Percutaneous Approach
00SG4ZZ	Reposition Optic Nerve, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An adult patient presents after a traumatic craniofacial injury with evidence of optic nerve displacement and progressive visual field loss; imaging shows focal optic nerve subluxation causing traction on the nerve and worsening vision, prompting inpatient surgical correction to restore anatomic alignment and prevent permanent optic nerve damage. The operation is performed via an open cranial approach to mobilize and reposition the affected segment of the optic nerve. Typical codes: 00SG0ZZ
An elderly patient with chronic compressive optic neuropathy from an orbital mass undergoes a planned, minimally invasive transorbital procedure to relieve traction and reposition the optic nerve away from the lesion; the case is scheduled electively with inpatient observation due to the patient’s comorbidities and need for postoperative neurological monitoring. Because the procedure is performed through a percutaneous approach to relocate the optic nerve, a percutaneous code from the group is appropriate. Typical codes: 00SG3ZZ
A patient with prior endoscopic orbital surgery returns with progressive diplopia and recurrent optic nerve malposition from scar contracture; during an inpatient revision, surgeons perform an endoscopic-assisted percutaneous revision to free adhesions and reposition the optic nerve to a more suitable location to relieve tension and restore function. Typical codes: 00SG4ZZ

Related Codes

00SF-OLFACTORY-NERVE-REPOSITION

ICD-10-PCS Code For Olfactory Nerve: Procedure Code Group Overview

00SH-OCULOMOTOR-NERVE-REPOSITION

ICD-10-PCS Code For Oculomotor Nerve: Procedure Code Group Overview

00SJ-TROCHLEAR-NERVE-REPOSITION

ICD-10-PCS Code For Trochlear Nerve: Procedure Code Group Overview

00SK-TRIGEMINAL-NERVE-REPOSITION

ICD-10-PCS Code For Trigeminal Nerve: Procedure Code Group Overview

00SL-ABDUCENS-NERVE-REPOSITION

ICD-10-PCS Code For Abducens Nerve: Procedure Code Group Overview

00SM-FACIAL-NERVE-REPOSITION

ICD-10-PCS Code For Facial Nerve: Procedure Code Group Overview

00SN-ACOUSTIC-NERVE-REPOSITION

ICD-10-PCS Code For Acoustic Nerve: Procedure Code Group Overview

00SQ-VAGUS-NERVE-REPOSITION

ICD-10-PCS Code For Vagus Nerve: Procedure Code Group Overview

00SR-ACCESSORY-NERVE-REPOSITION

ICD-10-PCS Code for Accessory Nerve: Procedure Code Group Overview

00SS-HYPOGLOSSAL-NERVE-REPOSITION

ICD-10-PCS Code For Hypoglossal Nerve: Procedure Code Group Overview

Showing 1–10 of 13

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
00SG0ZZ	Reposition Optic Nerve, Open Approach
00SG3ZZ	Reposition Optic Nerve, Percutaneous Approach
00SG4ZZ	Reposition Optic Nerve, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An adult patient presents after a traumatic craniofacial injury with evidence of optic nerve displacement and progressive visual field loss; imaging shows focal optic nerve subluxation causing traction on the nerve and worsening vision, prompting inpatient surgical correction to restore anatomic alignment and prevent permanent optic nerve damage. The operation is performed via an open cranial approach to mobilize and reposition the affected segment of the optic nerve. Typical codes: 00SG0ZZ
An elderly patient with chronic compressive optic neuropathy from an orbital mass undergoes a planned, minimally invasive transorbital procedure to relieve traction and reposition the optic nerve away from the lesion; the case is scheduled electively with inpatient observation due to the patient’s comorbidities and need for postoperative neurological monitoring. Because the procedure is performed through a percutaneous approach to relocate the optic nerve, a percutaneous code from the group is appropriate. Typical codes: 00SG3ZZ
A patient with prior endoscopic orbital surgery returns with progressive diplopia and recurrent optic nerve malposition from scar contracture; during an inpatient revision, surgeons perform an endoscopic-assisted percutaneous revision to free adhesions and reposition the optic nerve to a more suitable location to relieve tension and restore function. Typical codes: 00SG4ZZ

Related Codes

00SF-OLFACTORY-NERVE-REPOSITION

ICD-10-PCS Code For Olfactory Nerve: Procedure Code Group Overview

00SH-OCULOMOTOR-NERVE-REPOSITION

ICD-10-PCS Code For Oculomotor Nerve: Procedure Code Group Overview

00SJ-TROCHLEAR-NERVE-REPOSITION

ICD-10-PCS Code For Trochlear Nerve: Procedure Code Group Overview

00SK-TRIGEMINAL-NERVE-REPOSITION

ICD-10-PCS Code For Trigeminal Nerve: Procedure Code Group Overview

00SL-ABDUCENS-NERVE-REPOSITION

ICD-10-PCS Code For Abducens Nerve: Procedure Code Group Overview

00SM-FACIAL-NERVE-REPOSITION

ICD-10-PCS Code For Facial Nerve: Procedure Code Group Overview

00SN-ACOUSTIC-NERVE-REPOSITION

ICD-10-PCS Code For Acoustic Nerve: Procedure Code Group Overview

00SQ-VAGUS-NERVE-REPOSITION

ICD-10-PCS Code For Vagus Nerve: Procedure Code Group Overview

00SR-ACCESSORY-NERVE-REPOSITION

ICD-10-PCS Code for Accessory Nerve: Procedure Code Group Overview

00SS-HYPOGLOSSAL-NERVE-REPOSITION

ICD-10-PCS Code For Hypoglossal Nerve: Procedure Code Group Overview

Showing 1–10 of 13

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview policy alerts

Optic Nerve Reposition Procedure Overview

Code Attributes

ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Optic Nerve: Procedure Code Group Overview policy alerts

Optic Nerve Reposition Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 00SG?

What body system and operation does the 00SG group represent?

When should 00SG codes be used for inpatient documentation?

How do 00SG codes affect reimbursement grouping?

What are the approach distinctions among the individual 00SG codes?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 00SG?

What body system and operation does the 00SG group represent?

When should 00SG codes be used for inpatient documentation?

How do 00SG codes affect reimbursement grouping?

What are the approach distinctions among the individual 00SG codes?

References