ICD-10-PCS Code For Brain: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group D020 includes procedures performed to stereotactically irradiate lesions in the brain. These ICD-10-PCS codes are used for inpatient documentation when stereotactic radiosurgery is performed to treat intracranial neoplasms, vascular malformations, or functional targets. Accurate coding within the ICD-10-PCS D020 group is essential for proper inpatient reimbursement, as it captures the specific stereotactic radiosurgery procedure performed and determines appropriate case mix and payment.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Brain: 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.

Brain Stereotactic Radiosurgery Procedure Overview

This procedure group includes stereotactic radiosurgery procedures targeted at the brain within the central and peripheral nervous system. These procedures deliver focused, high-dose radiation to intracranial targets using stereotactic guidance and immobilization. Accurate ICD-10-PCS coding of these procedures ensures inpatient records reflect the specific stereotactic radiosurgery performed on the brain and supports correct case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
0	Body System	Central and Peripheral Nervous System
2	Operation	Stereotactic Radiosurgery
0	Body Part	Brain

Explore openpayer tools

View all tools

ICD-10-PCS Code For Brain: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Brain: 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.

Brain Stereotactic Radiosurgery Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
0	Body System	Central and Peripheral Nervous System
2	Operation	Stereotactic Radiosurgery
0	Body Part	Brain

When to Use

Use codes from this group when stereotactic radiosurgery is performed on brain targets during an inpatient stay. Codes apply when documentation supports focused, high-dose radiation delivered to intracranial lesions with stereotactic technique.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
D020DZZ	Stereotactic Other Photon Radiosurgery of Brain
D020HZZ	Stereotactic Particulate Radiosurgery of Brain
D020JZZ	Stereotactic Gamma Beam Radiosurgery of Brain

DRG Codes

12 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A middle-aged patient with a solitary 2.5 cm metastatic brain lesion from lung cancer is admitted for postoperative stereotactic radiosurgery to the resection cavity to improve local control; the inpatient stay is for planned delivery of focused high-dose radiation using immobilization and stereotactic targeting after recent craniotomy. A stereotactic radiosurgery code from the brain group is selected because the treatment targets an intracranial neoplastic lesion with focused radiation. Typical codes: D020DZZ, D020JZZ
An elderly patient presents electively for definitive stereotactic radiosurgery of a small, symptomatic arteriovenous malformation in the cerebral hemisphere after multidisciplinary review; the inpatient admission is for precise localization and delivery of high-dose stereotactic radiation to obliterate the vascular nidus while minimizing exposure to surrounding brain. A brain stereotactic radiosurgery procedure code is used to reflect the focused intracranial radiation technique. Typical codes: D020HZZ, D020DZZ
A patient with medically refractory trigeminal neuralgia is admitted for stereotactic radiosurgery targeting the root entry zone after failure of medical therapy; the inpatient stay accommodates immobilization, stereotactic planning, and delivery of focused radiation to the functional intracranial target to achieve pain control. The procedure is coded using a stereotactic radiosurgery code for the brain. Typical codes: D020JZZ

ICD-10-PCS Code For Brain Stem: Procedure Code Group Overview

D026-SPINAL-CORD-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview

D027-PERIPHERAL-NERVE-STEREOTACTIC-RADIOSURGERY

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

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

3 rows

ICD-10-PCS Code	Description
D020DZZ	Stereotactic Other Photon Radiosurgery of Brain
D020HZZ	Stereotactic Particulate Radiosurgery of Brain
D020JZZ	Stereotactic Gamma Beam Radiosurgery of Brain

DRG Codes

12 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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A middle-aged patient with a solitary 2.5 cm metastatic brain lesion from lung cancer is admitted for postoperative stereotactic radiosurgery to the resection cavity to improve local control; the inpatient stay is for planned delivery of focused high-dose radiation using immobilization and stereotactic targeting after recent craniotomy. A stereotactic radiosurgery code from the brain group is selected because the treatment targets an intracranial neoplastic lesion with focused radiation. Typical codes: D020DZZ, D020JZZ
An elderly patient presents electively for definitive stereotactic radiosurgery of a small, symptomatic arteriovenous malformation in the cerebral hemisphere after multidisciplinary review; the inpatient admission is for precise localization and delivery of high-dose stereotactic radiation to obliterate the vascular nidus while minimizing exposure to surrounding brain. A brain stereotactic radiosurgery procedure code is used to reflect the focused intracranial radiation technique. Typical codes: D020HZZ, D020DZZ
A patient with medically refractory trigeminal neuralgia is admitted for stereotactic radiosurgery targeting the root entry zone after failure of medical therapy; the inpatient stay accommodates immobilization, stereotactic planning, and delivery of focused radiation to the functional intracranial target to achieve pain control. The procedure is coded using a stereotactic radiosurgery code for the brain. Typical codes: D020JZZ

ICD-10-PCS Code For Brain Stem: Procedure Code Group Overview

D026-SPINAL-CORD-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview

D027-PERIPHERAL-NERVE-STEREOTACTIC-RADIOSURGERY

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

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.

OpenPayer

ICD-10-PCS Code For Brain: Procedure Code Group Overview

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

Brain Stereotactic Radiosurgery Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Brain: Procedure Code Group Overview

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

Brain Stereotactic Radiosurgery Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Brain: Procedure Code Group Overview

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

Brain Stereotactic Radiosurgery Procedure Overview

Code Attributes

ICD-10-PCS Code For Brain: Procedure Code Group Overview

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

Brain Stereotactic Radiosurgery Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS D020 code group?

What is the primary purpose of coding procedures in the D020 group?

Under which ICD-10-PCS section and body system do D020 codes fall?

For what clinical targets are stereotactic radiosurgery procedures in this group used?

Which DRG groupings are related to procedures coded in D020?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS D020 code group?

What is the primary purpose of coding procedures in the D020 group?

Under which ICD-10-PCS section and body system do D020 codes fall?

For what clinical targets are stereotactic radiosurgery procedures in this group used?

Which DRG groupings are related to procedures coded in D020?

References