0B5C4Z3 ICD-10-PCS Code: Destruction of Right Upper Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
Destruction of R Up Lung Lobe using LITT, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemB | Respiratory System |
| 3 | Root Operation5 | Destruction Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent |
| 4 | Body PartC | Upper Lung Lobe, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | Qualifier3 | Laser Interstitial Thermal Therapy |
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:
- MDC 04 — Major Chest Procedures: DRG 163, DRG 164, DRG 165
- MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
- MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0B5D4Z3 — Destruction of Right Middle Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0B5F4Z3 — Destruction of Right Lower Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0B5G4Z3 — Destruction of Left Upper Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0B5H4Z3 — Destruction of Lung Lingula using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0B5J4Z3 — Destruction of Left Lower Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0B5K4Z3 — Destruction of Right Lung using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0B5L4Z3 — Destruction of Left Lung using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0B5M4Z3 — Destruction of Bilateral Lungs using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0B5C0Z3 — Destruction of Right Upper Lung Lobe using Laser Interstitial Thermal Therapy, Open Approach, 0B5C3Z3 — Destruction of Right Upper Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0B5C4ZZ — Destruction of Right Upper Lung Lobe, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Lung, pleura, or diaphragm resection (open and thoracoscopic) (Respiratory System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0BB10ZZ — Excision of Trachea, Open Approach, 0BB14ZZ — Excision of Trachea, Percutaneous Endoscopic Approach, 0BB20ZZ — Excision of Carina, Open Approach, 0BB24ZZ — Excision of Carina, Percutaneous Endoscopic Approach, 0BB30ZZ — Excision of Right Main Bronchus, Open Approach, 0BB34ZZ — Excision of Right Main Bronchus, Percutaneous Endoscopic Approach, 0BB40ZZ — Excision of Right Upper Lobe Bronchus, Open Approach, 0BB44ZZ — Excision of Right Upper Lobe Bronchus, Percutaneous Endoscopic Approach, 0BB50ZZ — Excision of Right Middle Lobe Bronchus, Open Approach, 0BB54ZZ — Excision of Right Middle Lobe Bronchus, Percutaneous Endoscopic Approach, 0BB60ZZ — Excision of Right Lower Lobe Bronchus, Open Approach, 0BB64ZZ — Excision of Right Lower Lobe Bronchus, Percutaneous Endoscopic Approach, 0BB70ZZ — Excision of Left Main Bronchus, Open Approach, 0BB74ZZ — Excision of Left Main Bronchus, Percutaneous Endoscopic Approach, 0BB80ZZ — Excision of Left Upper Lobe Bronchus, Open Approach, 0BB84ZZ — Excision of Left Upper Lobe Bronchus, Percutaneous Endoscopic Approach, 0BB90ZZ — Excision of Lingula Bronchus, Open Approach, 0BB94ZZ — Excision of Lingula Bronchus, Percutaneous Endoscopic Approach, 0BBB0ZZ — Excision of Left Lower Lobe Bronchus, Open Approach, 0BBB4ZZ — Excision of Left Lower Lobe Bronchus, Percutaneous Endoscopic Approach, +68 more
Contextual Map
Every relationship of 0B5C4Z3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0B5C4Z3 with these 5 related codes in Claim Check
PCS table
- 0B5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Respiratory System — Body System: Respiratory System[Body System]: “Respiratory System”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation (9)
- DRG 163 — MAJOR CHEST PROCEDURES WITH MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 164 — MAJOR CHEST PROCEDURES WITH CC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH CC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 165 — MAJOR CHEST PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITHOUT CC/MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 822 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 826 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 827 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 1 more
Clinical classification (CCSR)
- RES008 — Lung, pleura, or diaphragm resection (open and thoracoscopic)[CCSR category]: “Lung, pleura, or diaphragm resection (open and thoracoscopic) — Respiratory System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1349)
- MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 17 — Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms[MDC crossing]: “Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- A02.22 — Salmonella pneumonia[Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A06.5 — Amebic lung abscess[Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A15.0 — Tuberculosis of lung[Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A15.4 — Tuberculosis of intrathoracic lymph nodes[Same-MDC diagnosis]: “Tuberculosis of intrathoracic lymph nodes — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A15.5 — Tuberculosis of larynx, trachea and bronchus[Same-MDC diagnosis]: “Tuberculosis of larynx, trachea and bronchus — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 1344 more
Nearest codes
- 0B5C0Z3 — Destruction of Right Upper Lung Lobe using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0B5C3Z3 — Destruction of Right Upper Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0B5C4ZZ — Destruction of Right Upper Lung Lobe, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0B5D4Z3 — Destruction of Right Middle Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0B5F4Z3 — Destruction of Right Lower Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0B5G4Z3 — Destruction of Left Upper Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0B5H4Z3 — Destruction of Lung Lingula using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0B5J4Z3 — Destruction of Left Lower Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2023 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2023
Change history
- FY2023 — October 1, 2022Added to the code setDestruction of Right Upper Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic ApproachFY2023 changes
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources