ICD-10-PCS Code For Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X052 includes procedures performed to destroy neural structures in the thoracic sympathetic nerve and cardiac plexus. These ICD-10-PCS codes are used for inpatient documentation when radiofrequency ablation or similar destructive energy is applied percutaneously to the thoracic sympathetic nerve and cardiac plexus. Accurate coding within the ICD-10-PCS X052 group is essential for proper inpatient reimbursement, as it captures the specific destruction procedure performed and supports clinical documentation accuracy.

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Thoracic Sympathetic Nerve, Cardiac Plexus Destruction Procedure Overview

Procedures in this group involve the deliberate destruction of all or part of the thoracic sympathetic nerve and cardiac plexus within the nervous system using directed energy modalities. These procedures are performed percutaneously and are classified in the New Technology section of the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding of these destruction procedures ensures inpatient documentation reflects the specific nervous system target and the destructive operation, which affects case mix and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
0	Body System	Nervous System
5	Operation	Destruction
2	Body Part	Thoracic Sympathetic Nerve, Cardiac Plexus

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ICD-10-PCS Code For Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview

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Thoracic Sympathetic Nerve, Cardiac Plexus Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
0	Body System	Nervous System
5	Operation	Destruction
2	Body Part	Thoracic Sympathetic Nerve, Cardiac Plexus

When to Use

Use a code from this group when an inpatient procedure intentionally destroys all or a portion of the thoracic sympathetic nerve and cardiac plexus by radiofrequency ablation or a comparable energy modality. Select the specific ICD-10 PCS X052 code variant that matches the approach and documented use of new technology when present.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X05233B	Destruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11

DRG Codes

4 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
264	Other Circulatory System O.R. Procedures

Typical Clinical Scenarios

A 62-year-old patient with refractory ischemic chest pain and documented sympathetic-mediated severe angina who failed maximal medical therapy is admitted for a targeted percutaneous procedure to reduce sympathetic input to the heart. The interventional pain/cardiac electrophysiology team performs percutaneous radiofrequency ablation directed at the thoracic sympathetic nerve and cardiac plexus to reduce sympathetically driven cardiac pain and ischemic burden. The procedure is done electively during the inpatient stay with monitoring for hemodynamic changes. Typical codes: X05233B
A 45-year-old patient presents acutely with refractory ventricular arrhythmias (electrical storm) unresponsive to pharmacologic therapy and repeated ablation attempts; after multidisciplinary discussion, an urgent percutaneous sympathetic denervation of the thoracic sympathetic nerve and cardiac plexus is performed using radiofrequency energy to modulate autonomic drive to the heart. The procedure aims to rapidly reduce sympathetic triggers contributing to life-threatening arrhythmias and is delivered percutaneously under monitored inpatient care. Typical codes: X05233B
A 57-year-old patient who previously underwent percutaneous sympathetic modulation returns with recurrent sympathetically mediated cardiac symptoms despite prior intervention; imaging and clinical review indicate targeted repeat percutaneous destruction of residual or regrown thoracic sympathetic fibers and cardiac plexus elements. The inpatient procedure uses radiofrequency ablation to achieve further destruction of the specified nervous structures as a revision of prior sympathetic intervention. Typical codes: X05233B

ICD-10-PCS Code For Renal Sympathetic Nerve(s): Procedure Code Group Overview

X053-BRAIN-DESTRUCTION

ICD-10-PCS Code For Brain: 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

1 rows

ICD-10-PCS Code	Description
X05233B	Destruction of Thoracic Sympathetic Nerve, Cardiac Plexus using Radiofrequency Ablation, Percutaneous Approach, New Technology Group 11

DRG Codes

4 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
264	Other Circulatory System O.R. Procedures

Typical Clinical Scenarios

A 62-year-old patient with refractory ischemic chest pain and documented sympathetic-mediated severe angina who failed maximal medical therapy is admitted for a targeted percutaneous procedure to reduce sympathetic input to the heart. The interventional pain/cardiac electrophysiology team performs percutaneous radiofrequency ablation directed at the thoracic sympathetic nerve and cardiac plexus to reduce sympathetically driven cardiac pain and ischemic burden. The procedure is done electively during the inpatient stay with monitoring for hemodynamic changes. Typical codes: X05233B
A 45-year-old patient presents acutely with refractory ventricular arrhythmias (electrical storm) unresponsive to pharmacologic therapy and repeated ablation attempts; after multidisciplinary discussion, an urgent percutaneous sympathetic denervation of the thoracic sympathetic nerve and cardiac plexus is performed using radiofrequency energy to modulate autonomic drive to the heart. The procedure aims to rapidly reduce sympathetic triggers contributing to life-threatening arrhythmias and is delivered percutaneously under monitored inpatient care. Typical codes: X05233B
A 57-year-old patient who previously underwent percutaneous sympathetic modulation returns with recurrent sympathetically mediated cardiac symptoms despite prior intervention; imaging and clinical review indicate targeted repeat percutaneous destruction of residual or regrown thoracic sympathetic fibers and cardiac plexus elements. The inpatient procedure uses radiofrequency ablation to achieve further destruction of the specified nervous structures as a revision of prior sympathetic intervention. Typical codes: X05233B

ICD-10-PCS Code For Renal Sympathetic Nerve(s): Procedure Code Group Overview

X053-BRAIN-DESTRUCTION

ICD-10-PCS Code For Brain: 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.

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ICD-10-PCS Code For Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview

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Thoracic Sympathetic Nerve, Cardiac Plexus Destruction Procedure Overview

Code Attributes

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ICD-10-PCS Code For Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview

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Thoracic Sympathetic Nerve, Cardiac Plexus Destruction 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 Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview policy alerts

Thoracic Sympathetic Nerve, Cardiac Plexus Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracic Sympathetic Nerve, Cardiac Plexus: Procedure Code Group Overview policy alerts

Thoracic Sympathetic Nerve, Cardiac Plexus Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code is used for radiofrequency ablation of the thoracic sympathetic nerve and cardiac plexus?

What operation and body system are captured by the X052 code group?

In what section of ICD-10-PCS are these procedures classified?

How does accurate coding of `X05233B` affect inpatient documentation and reimbursement?

Which DRGs are related to procedures in the X052 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code is used for radiofrequency ablation of the thoracic sympathetic nerve and cardiac plexus?

What operation and body system are captured by the X052 code group?

In what section of ICD-10-PCS are these procedures classified?

How does accurate coding of `X05233B` affect inpatient documentation and reimbursement?

Which DRGs are related to procedures in the X052 code group?

References