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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 00XQ includes procedures performed to transfer all or a portion of the vagus nerve to another location within the central nervous system and cranial nerves body system. These ICD-10-PCS codes are used for inpatient documentation when a portion of the vagus nerve is moved to take over the function of another nerve or nerve segment. Accurate coding within the ICD-10-PCS 00XQ group is essential for proper inpatient reimbursement, as it captures the procedure performed and ensures appropriate case mix and payment.

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Vagus Nerve Transfer Procedure Overview

This procedure group encompasses transfer operations on the vagus nerve within the central nervous system and cranial nerves body system. Procedures involve moving all or a portion of the vagus nerve to another location to assume the function of a different nerve segment or structure. Accurate ICD-10-PCS coding of these transfers is important for inpatient reimbursement because it captures the precise surgical action and anatomic target, supporting correct case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
0	Body System	Central Nervous System and Cranial Nerves
X	Operation	Transfer
Q	Body Part	Vagus Nerve

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

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Vagus Nerve Transfer 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
X	Operation	Transfer
Q	Body Part	Vagus Nerve

When to Use

Use a code from this group when surgical transfer of the vagus nerve is performed to restore or reassign neural function to a different nerve distribution. These codes apply when the surgeon moves all or a portion of the vagus nerve to a new anatomical site to take over the function of another nerve or nerve segment.

ICD-10-PCS Codes

24 rows

ICD-10-PCS Code	Description
00XQ0ZF	Transfer Vagus Nerve to Olfactory Nerve, Open Approach
00XQ0ZG	Transfer Vagus Nerve to Optic Nerve, Open Approach
00XQ0ZH	Transfer Vagus Nerve to Oculomotor Nerve, Open Approach
00XQ0ZJ	Transfer Vagus Nerve to Trochlear Nerve, Open Approach
00XQ0ZK	Transfer Vagus Nerve to Trigeminal Nerve, Open Approach
00XQ0ZL	Transfer Vagus Nerve to Abducens Nerve, Open Approach
00XQ0ZM	Transfer Vagus Nerve to Facial Nerve, Open Approach
00XQ0ZN	Transfer Vagus Nerve to Acoustic Nerve, Open Approach
00XQ0ZP	Transfer Vagus Nerve to Glossopharyngeal Nerve, Open Approach
00XQ0ZQ	Transfer Vagus Nerve to Vagus Nerve, Open Approach

Showing 1–10 of 24

DRG Codes

9 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries 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 with a traumatic injury to multiple cranial nerves from a skull base fracture presents with persistent unilateral facial paralysis and aspiration risk despite conservative therapy; in a planned inpatient reconstructive nerve transfer, a portion of the vagus nerve is moved to reinnervate the facial nerve distribution to restore protective swallowing and some facial tone. Typical codes: 00XQ0ZM, 00XQ4ZM
A pediatric patient with congenital hypoglossal nerve agenesis causing severe tongue dysfunction and feeding difficulties is admitted for definitive surgical restoration of tongue motor function; during the elective inpatient procedure the surgeon transfers a segment of the vagus nerve to the hypoglossal nerve to assume motor function and improve oral intake. Typical codes: 00XQ0ZS, 00XQ4ZS
A patient with progressive glossopharyngeal neuropathy after prior neck surgery experiences worsening dysphagia and recurrent aspiration; after failed conservative measures and prior nerve grafting, the team performs a revision inpatient nerve transfer using the vagus nerve to reanimate the glossopharyngeal territory to restore swallowing. Typical codes: 00XQ0ZP, 00XQ4ZP

Related Codes

00XF-OLFACTORY-NERVE-TRANSFER

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

00XG-OPTIC-NERVE-TRANSFER

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

00XH-OCULOMOTOR-NERVE-TRANSFER

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

00XJ-TROCHLEAR-NERVE-TRANSFER

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

00XK-TRIGEMINAL-NERVE-TRANSFER

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

00XL-ABDUCENS-NERVE-TRANSFER

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

00XM-FACIAL-NERVE-MOVING-FACIAL-NERVE-TRANSFER

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

00XN-ACOUSTIC-NERVE-TRANSFER

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

00XP-GLOSSOPHARYNGEAL-NERVE-TRANSFER

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

00XR-ACCESSORY-NERVE-TRANSFER

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

Showing 1–10 of 11

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

24 rows

ICD-10-PCS Code	Description
00XQ0ZF	Transfer Vagus Nerve to Olfactory Nerve, Open Approach
00XQ0ZG	Transfer Vagus Nerve to Optic Nerve, Open Approach
00XQ0ZH	Transfer Vagus Nerve to Oculomotor Nerve, Open Approach
00XQ0ZJ	Transfer Vagus Nerve to Trochlear Nerve, Open Approach
00XQ0ZK	Transfer Vagus Nerve to Trigeminal Nerve, Open Approach
00XQ0ZL	Transfer Vagus Nerve to Abducens Nerve, Open Approach
00XQ0ZM	Transfer Vagus Nerve to Facial Nerve, Open Approach
00XQ0ZN	Transfer Vagus Nerve to Acoustic Nerve, Open Approach
00XQ0ZP	Transfer Vagus Nerve to Glossopharyngeal Nerve, Open Approach
00XQ0ZQ	Transfer Vagus Nerve to Vagus Nerve, Open Approach

Showing 1–10 of 24

DRG Codes

9 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries 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 with a traumatic injury to multiple cranial nerves from a skull base fracture presents with persistent unilateral facial paralysis and aspiration risk despite conservative therapy; in a planned inpatient reconstructive nerve transfer, a portion of the vagus nerve is moved to reinnervate the facial nerve distribution to restore protective swallowing and some facial tone. Typical codes: 00XQ0ZM, 00XQ4ZM
A pediatric patient with congenital hypoglossal nerve agenesis causing severe tongue dysfunction and feeding difficulties is admitted for definitive surgical restoration of tongue motor function; during the elective inpatient procedure the surgeon transfers a segment of the vagus nerve to the hypoglossal nerve to assume motor function and improve oral intake. Typical codes: 00XQ0ZS, 00XQ4ZS
A patient with progressive glossopharyngeal neuropathy after prior neck surgery experiences worsening dysphagia and recurrent aspiration; after failed conservative measures and prior nerve grafting, the team performs a revision inpatient nerve transfer using the vagus nerve to reanimate the glossopharyngeal territory to restore swallowing. Typical codes: 00XQ0ZP, 00XQ4ZP

Related Codes

00XF-OLFACTORY-NERVE-TRANSFER

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

00XG-OPTIC-NERVE-TRANSFER

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

00XH-OCULOMOTOR-NERVE-TRANSFER

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

00XJ-TROCHLEAR-NERVE-TRANSFER

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

00XK-TRIGEMINAL-NERVE-TRANSFER

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

00XL-ABDUCENS-NERVE-TRANSFER

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

00XM-FACIAL-NERVE-MOVING-FACIAL-NERVE-TRANSFER

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

00XN-ACOUSTIC-NERVE-TRANSFER

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

00XP-GLOSSOPHARYNGEAL-NERVE-TRANSFER

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

00XR-ACCESSORY-NERVE-TRANSFER

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

Showing 1–10 of 11

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 Vagus Nerve: Procedure Code Group Overview

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

Vagus Nerve Transfer Procedure Overview

Code Attributes

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

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

Vagus Nerve Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the ICD-10-PCS 00XQ group describe?

When should a procedure in the 00XQ group be used for inpatient documentation?

What approaches are represented among the specific `00XQ` codes listed?

Which DRGs are related to procedures in the 00XQ vagus nerve transfer group?

How does correct coding within the 00XQ group affect reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the ICD-10-PCS 00XQ group describe?

When should a procedure in the 00XQ group be used for inpatient documentation?

What approaches are represented among the specific `00XQ` codes listed?

Which DRGs are related to procedures in the 00XQ vagus nerve transfer group?

How does correct coding within the 00XQ group affect reimbursement?

References