ICD-10-PCS Code For Sphenopalatine Ganglion: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X0HK includes procedures performed to insert nonbiological neurostimulator leads into the sphenopalatine ganglion. These ICD-10-PCS codes are used for inpatient documentation when a neurostimulator lead is percutaneously placed to monitor or modulate neural activity in the sphenopalatine ganglion. Accurate coding within the ICD-10-PCS X0HK group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Sphenopalatine Ganglion Insertion Procedure Overview

Procedures in this group involve the percutaneous insertion of a neurostimulator lead into the sphenopalatine ganglion and target the nervous system. These insertions place a nonbiological device to monitor or modulate neural function in the sphenopalatine ganglion. Accurate coding of these procedures is important for inpatient reimbursement because it captures the specific insertion operation and anatomical target, supporting appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
0	Body System	Nervous System
H	Operation	Insertion
K	Body Part	Sphenopalatine Ganglion

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ICD-10-PCS Code For Sphenopalatine Ganglion: Procedure Code Group Overview

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Sphenopalatine Ganglion Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
0	Body System	Nervous System
H	Operation	Insertion
K	Body Part	Sphenopalatine Ganglion

When to Use

Use a code from this group when a neurostimulator lead is placed percutaneously into the sphenopalatine ganglion to monitor or modulate neural function. Select the appropriate ICD-10-PCS X0HK code that reflects the insertion procedure and the new technology group attributes documented in the operative record.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X0HK3Q8	Insertion of Neurostimulator Lead into Sphenopalatine Ganglion, Percutaneous Approach, New Technology Group 8

DRG Codes

18 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
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

A 45-year-old woman with chronic, refractory cluster headaches presents for a planned inpatient procedure after failing multiple medical therapies. The pain management team elects to place a neurostimulator lead percutaneously into the sphenopalatine ganglion to provide targeted neuromodulation for headache control. The procedure is performed electively under monitored anesthesia care to optimize lead placement and initial programming. Typical codes: X0HK3Q8
A 62-year-old man admitted for severe intractable facial pain following failed maximal medical management is scheduled urgently for percutaneous neurostimulation. Due to escalating opioid requirements and functional decline, a neurostimulator lead is placed into the sphenopalatine ganglion to acutely modulate neural pathways and attempt rapid pain relief during the inpatient stay. The procedure is performed percutaneously to allow immediate titration of stimulation settings. Typical codes: X0HK3Q8
A 55-year-old patient with a previously implanted sphenopalatine ganglion lead presents with new lead migration and loss of therapeutic effect; imaging confirms malposition of the lead tip. The inpatient procedure involves percutaneous removal of the malfunctioning lead and insertion of a new neurostimulator lead into the sphenopalatine ganglion to restore intended neuromodulation. The revision is performed percutaneously under fluoroscopic guidance to correct lead position. Typical codes: X0HK3Q8

Related Codes

X0HQ-VAGUS-NERVE-INSERTION

ICD-10-PCS Code For Vagus 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.

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When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X0HK3Q8	Insertion of Neurostimulator Lead into Sphenopalatine Ganglion, Percutaneous Approach, New Technology Group 8

DRG Codes

18 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
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

A 45-year-old woman with chronic, refractory cluster headaches presents for a planned inpatient procedure after failing multiple medical therapies. The pain management team elects to place a neurostimulator lead percutaneously into the sphenopalatine ganglion to provide targeted neuromodulation for headache control. The procedure is performed electively under monitored anesthesia care to optimize lead placement and initial programming. Typical codes: X0HK3Q8
A 62-year-old man admitted for severe intractable facial pain following failed maximal medical management is scheduled urgently for percutaneous neurostimulation. Due to escalating opioid requirements and functional decline, a neurostimulator lead is placed into the sphenopalatine ganglion to acutely modulate neural pathways and attempt rapid pain relief during the inpatient stay. The procedure is performed percutaneously to allow immediate titration of stimulation settings. Typical codes: X0HK3Q8
A 55-year-old patient with a previously implanted sphenopalatine ganglion lead presents with new lead migration and loss of therapeutic effect; imaging confirms malposition of the lead tip. The inpatient procedure involves percutaneous removal of the malfunctioning lead and insertion of a new neurostimulator lead into the sphenopalatine ganglion to restore intended neuromodulation. The revision is performed percutaneously under fluoroscopic guidance to correct lead position. Typical codes: X0HK3Q8

Related Codes

X0HQ-VAGUS-NERVE-INSERTION

ICD-10-PCS Code For Vagus 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.

ICD-10-PCS Code For Sphenopalatine Ganglion: Procedure Code Group Overview

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

Sphenopalatine Ganglion Insertion Procedure Overview

Code Attributes

ICD-10-PCS Code For Sphenopalatine Ganglion: Procedure Code Group Overview

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

Sphenopalatine Ganglion Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group X0HK represent?

Which specific ICD-10-PCS code is listed for this procedure group?

What are the section, body system, operation, and body part attributes for codes in this group?

How does accurate coding of `X0HK` procedures impact inpatient care documentation?

Which DRG categories may be associated with procedures coded to `X0HK`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group X0HK represent?

Which specific ICD-10-PCS code is listed for this procedure group?

What are the section, body system, operation, and body part attributes for codes in this group?

How does accurate coding of `X0HK` procedures impact inpatient care documentation?

Which DRG categories may be associated with procedures coded to `X0HK`?

References