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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 01X5 includes procedures performed to transfer nerves or portions of nerves in the peripheral nervous system. These ICD-10-PCS codes are used for inpatient documentation when a median nerve, or part of it, is moved to assume the function of another nerve or portion of a limb. Accurate coding within the ICD-10-PCS 01X5 group is essential for proper inpatient reimbursement, as it captures the specific reconstructive neural procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Median Nerve Transfer Procedure Overview

Procedures in this group involve transferring all or a portion of the median nerve to another location to take over the function of all or part of a body part. These operations target the peripheral nervous system and are coded as transfer root operations in the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding of median nerve transfer procedures ensures inpatient records reflect the neural reconstruction performed and supports appropriate reimbursement and case mix reporting.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
1	Body System	Peripheral Nervous System
X	Operation	Transfer
5	Body Part	Median Nerve

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Median Nerve Transfer Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
1	Body System	Peripheral Nervous System
X	Operation	Transfer
5	Body Part	Median Nerve

When to Use

Use a code from this group when the median nerve is surgically transferred to restore or reassign motor or sensory function to another anatomic site. Do not use these codes for simple repairs or grafts that do not involve transferring the median nerve to take over function.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
01X50Z4	Transfer Median Nerve to Ulnar Nerve, Open Approach
01X50Z5	Transfer Median Nerve to Median Nerve, Open Approach
01X50Z6	Transfer Median Nerve to Radial Nerve, Open Approach
01X54Z4	Transfer Median Nerve to Ulnar Nerve, Percutaneous Endoscopic Approach
01X54Z5	Transfer Median Nerve to Median Nerve, Percutaneous Endoscopic Approach
01X54Z6	Transfer Median Nerve to Radial Nerve, Percutaneous Endoscopic Approach

DRG Codes

3 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

Typical Clinical Scenarios

A young adult sustains a high-velocity forearm injury with a segmental loss of the ulnar nerve and persistent intrinsic hand weakness; surgeon elects to transpose part of the median nerve branches to reinnervate ulnar-innervated intrinsic muscles to restore pinch and grip. The patient is admitted for a planned reconstructive nerve transfer procedure to reassign median nerve motor fibers to the ulnar nerve distally. The operation is performed using an open approach to ensure precise coaptation and tension-free transfer. Typical codes: 01X50Z4
An older patient presents emergently after a wrist crush injury with a complex laceration causing irreparable distal radial nerve injury but intact median nerve fascicles; to salvage wrist and finger extension, the surgical team transfers portion of the median nerve to the radial nerve in the same hospital admission. The transfer is done via an open approach to enable direct visualization and nerve matching in the acute setting. Typical codes: 01X50Z6
A patient with prior carpal tunnel decompression continues to have progressive median nerve motor loss and underwent a previous failed nerve transfer; during a staged revision, the surgeon performs a percutaneous endoscopic-assisted transfer of median nerve fascicles to more distal median nerve branches to improve motor reinnervation while minimizing soft-tissue dissection. This inpatient revision uses a less invasive percutaneous endoscopic approach to target specific fascicles and reduce scar-related morbidity. Typical codes: 01X54Z5

Related Codes

01X1-CERVICAL-NERVE-TRANSFER

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

01X2-PHRENIC-NERVE-TRANSFER

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

01X4-ULNAR-NERVE-TRANSFER

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

01X6-RADIAL-NERVE-TRANSFER

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

01X8-THORACIC-NERVE-TRANSFER

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

01XB-LUMBAR-NERVE-TRANSFER

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

01XC-PUDENDAL-NERVE-TRANSFER

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

01XD-FEMORAL-NERVE-TRANSFER

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

01XF-SCIATIC-NERVE-TRANSFER

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

01XG-TIBIAL-NERVE-TRANSFER

ICD-10-PCS Code For Tibial 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
01X50Z4	Transfer Median Nerve to Ulnar Nerve, Open Approach
01X50Z5	Transfer Median Nerve to Median Nerve, Open Approach
01X50Z6	Transfer Median Nerve to Radial Nerve, Open Approach
01X54Z4	Transfer Median Nerve to Ulnar Nerve, Percutaneous Endoscopic Approach
01X54Z5	Transfer Median Nerve to Median Nerve, Percutaneous Endoscopic Approach
01X54Z6	Transfer Median Nerve to Radial Nerve, Percutaneous Endoscopic Approach

DRG Codes

3 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

Typical Clinical Scenarios

A young adult sustains a high-velocity forearm injury with a segmental loss of the ulnar nerve and persistent intrinsic hand weakness; surgeon elects to transpose part of the median nerve branches to reinnervate ulnar-innervated intrinsic muscles to restore pinch and grip. The patient is admitted for a planned reconstructive nerve transfer procedure to reassign median nerve motor fibers to the ulnar nerve distally. The operation is performed using an open approach to ensure precise coaptation and tension-free transfer. Typical codes: 01X50Z4
An older patient presents emergently after a wrist crush injury with a complex laceration causing irreparable distal radial nerve injury but intact median nerve fascicles; to salvage wrist and finger extension, the surgical team transfers portion of the median nerve to the radial nerve in the same hospital admission. The transfer is done via an open approach to enable direct visualization and nerve matching in the acute setting. Typical codes: 01X50Z6
A patient with prior carpal tunnel decompression continues to have progressive median nerve motor loss and underwent a previous failed nerve transfer; during a staged revision, the surgeon performs a percutaneous endoscopic-assisted transfer of median nerve fascicles to more distal median nerve branches to improve motor reinnervation while minimizing soft-tissue dissection. This inpatient revision uses a less invasive percutaneous endoscopic approach to target specific fascicles and reduce scar-related morbidity. Typical codes: 01X54Z5

Related Codes

01X1-CERVICAL-NERVE-TRANSFER

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

01X2-PHRENIC-NERVE-TRANSFER

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

01X4-ULNAR-NERVE-TRANSFER

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

01X6-RADIAL-NERVE-TRANSFER

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

01X8-THORACIC-NERVE-TRANSFER

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

01XB-LUMBAR-NERVE-TRANSFER

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

01XC-PUDENDAL-NERVE-TRANSFER

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

01XD-FEMORAL-NERVE-TRANSFER

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

01XF-SCIATIC-NERVE-TRANSFER

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

01XG-TIBIAL-NERVE-TRANSFER

ICD-10-PCS Code For Tibial 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 Median Nerve: Procedure Code Group Overview

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

Median Nerve Transfer Procedure Overview

Code Attributes

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

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

Median Nerve Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover median nerve transfer procedures?

What is the clinical intent of procedures in the 01X5 code group?

Which individual ICD-10-PCS codes are included in the 01X5 median nerve transfer group?

How does accurate coding within 01X5 affect inpatient records and reimbursement?

Which DRGs are related to median nerve transfer procedures in this code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover median nerve transfer procedures?

What is the clinical intent of procedures in the 01X5 code group?

Which individual ICD-10-PCS codes are included in the 01X5 median nerve transfer group?

How does accurate coding within 01X5 affect inpatient records and reimbursement?

Which DRGs are related to median nerve transfer procedures in this code group?

References