ICD-10-PCS Code For Pelvic Region: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group DW26 includes procedures performed to stereotactically irradiate structures in the pelvic region. These ICD-10-PCS codes are used for inpatient documentation when a patient receives stereotactic radiosurgery targeted to pelvic lesions or focal pelvic targets. Accurate coding within the ICD-10-PCS DW26 group is essential for proper inpatient reimbursement, as it captures the specific radiation therapy delivered and determines appropriate case mix and payment.

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Pelvic Region Stereotactic Radiosurgery Procedure Overview

Procedures in this group involve stereotactic radiosurgery directed at structures within the pelvic region and target the anatomical regions body system. These treatments deliver highly focused radiation to pelvic lesions or targets using precise localization techniques. Accurate ICD-10-PCS coding of these procedures is important for inpatient reimbursement because it documents the specific radiation therapy delivered and supports appropriate case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
W	Body System	Anatomical Regions
2	Operation	Stereotactic Radiosurgery
6	Body Part	Pelvic Region

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ICD-10-PCS Code For Pelvic Region: Procedure Code Group Overview

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Pelvic Region Stereotactic Radiosurgery Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
W	Body System	Anatomical Regions
2	Operation	Stereotactic Radiosurgery
6	Body Part	Pelvic Region

When to Use

Use a code from this group when stereotactic radiosurgery is performed inpatient to treat a localized pelvic lesion or target requiring precise radiation delivery. Select the code that matches the pelvic target and stereotactic technique documented in the medical record.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
DW26DZZ	Stereotactic Other Photon Radiosurgery of Pelvic Region
DW26HZZ	Stereotactic Particulate Radiosurgery of Pelvic Region
DW26JZZ	Stereotactic Gamma Beam Radiosurgery of Pelvic Region

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 68-year-old woman with a solitary recurrent pelvic soft tissue metastasis adjacent to the iliac vessels presents with progressive pain and limited mobility. The multidisciplinary team admits her for inpatient stereotactic radiosurgery using highly focused photon beam delivery to ablate the localized pelvic lesion while minimizing dose to nearby organs at risk. The goal is precise, high-dose irradiation in a single or few fractions to control tumor-related symptoms and avoid surgical morbidity. Typical codes: DW26DZZ
A 45-year-old man with a bleeding arteriovenous malformation in the pelvis causing refractory hemorrhage and hemodynamic instability is stabilized and brought to the operating suite for targeted radiosurgery to achieve focal obliteration of the nidus. Because the lesion is deep and adjacent to critical pelvic structures, stereotactic particulate (e.g., particle-based) radiosurgery is selected to deliver conformal dose to the pelvic target as part of definitive hemorrhage control and lesion treatment during the inpatient admission. Typical codes: DW26HZZ
A 58-year-old patient previously treated with external beam radiation for a pelvic primary tumor develops a small radioresistant residual focus on imaging and persistent localized pain. After multidisciplinary review, inpatient stereotactic gamma beam radiosurgery is used as a focused salvage treatment to deliver a concentrated dose to the residual pelvic target while limiting further exposure to surrounding irradiated tissues. Typical codes: DW26JZZ

ICD-10-PCS Code For Head And Neck: Procedure Code Group Overview

DW22-CHEST-STEREOTACTIC-RADIOSURGERY

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

DW23-ABDOMEN-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Abdomen: 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.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
DW26DZZ	Stereotactic Other Photon Radiosurgery of Pelvic Region
DW26HZZ	Stereotactic Particulate Radiosurgery of Pelvic Region
DW26JZZ	Stereotactic Gamma Beam Radiosurgery of Pelvic Region

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 68-year-old woman with a solitary recurrent pelvic soft tissue metastasis adjacent to the iliac vessels presents with progressive pain and limited mobility. The multidisciplinary team admits her for inpatient stereotactic radiosurgery using highly focused photon beam delivery to ablate the localized pelvic lesion while minimizing dose to nearby organs at risk. The goal is precise, high-dose irradiation in a single or few fractions to control tumor-related symptoms and avoid surgical morbidity. Typical codes: DW26DZZ
A 45-year-old man with a bleeding arteriovenous malformation in the pelvis causing refractory hemorrhage and hemodynamic instability is stabilized and brought to the operating suite for targeted radiosurgery to achieve focal obliteration of the nidus. Because the lesion is deep and adjacent to critical pelvic structures, stereotactic particulate (e.g., particle-based) radiosurgery is selected to deliver conformal dose to the pelvic target as part of definitive hemorrhage control and lesion treatment during the inpatient admission. Typical codes: DW26HZZ
A 58-year-old patient previously treated with external beam radiation for a pelvic primary tumor develops a small radioresistant residual focus on imaging and persistent localized pain. After multidisciplinary review, inpatient stereotactic gamma beam radiosurgery is used as a focused salvage treatment to deliver a concentrated dose to the residual pelvic target while limiting further exposure to surrounding irradiated tissues. Typical codes: DW26JZZ

ICD-10-PCS Code For Head And Neck: Procedure Code Group Overview

DW22-CHEST-STEREOTACTIC-RADIOSURGERY

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

DW23-ABDOMEN-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Abdomen: 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.

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

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ICD-10-PCS Code For Pelvic Region: Procedure Code Group Overview

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Pelvic Region Stereotactic Radiosurgery Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Pelvic Region: Procedure Code Group Overview

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Pelvic Region 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 Pelvic Region: Procedure Code Group Overview

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

Pelvic Region Stereotactic Radiosurgery Procedure Overview

Code Attributes

ICD-10-PCS Code For Pelvic Region: Procedure Code Group Overview

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

Pelvic Region 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 DW26 code group?

What is the clinical purpose of procedures coded in DW26?

Why is accurate coding of DW26 procedures important for inpatient care?

Under which ICD-10-PCS attributes does the DW26 group fall?

Which DRG categories are related to procedures in the DW26 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS DW26 code group?

What is the clinical purpose of procedures coded in DW26?

Why is accurate coding of DW26 procedures important for inpatient care?

Under which ICD-10-PCS attributes does the DW26 group fall?

Which DRG categories are related to procedures in the DW26 code group?

References