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Inpatient Procedure Code

0D523Z3 ICD-10-PCS Code: Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach

Destruction of Middle Esophagus using LITT, Perc Approach

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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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemD

Gastrointestinal 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 Part2

Esophagus, Middle

5
Approach3

Percutaneous

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:

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.

0D513Z3 — Destruction of Upper Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D533Z3 — Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D543Z3 — Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D553Z3 — Destruction of Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D563Z3 — Destruction of Stomach using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D573Z3 — Destruction of Stomach, Pylorus using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D583Z3 — Destruction of Small Intestine using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D593Z3 — Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Approach, +14 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0D520Z3 — Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Open Approach, 0D524Z3 — Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

0D523ZZ — Destruction of Middle Esophagus, Percutaneous Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under GI system endoscopic therapeutic procedures (Gastrointestinal 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.

0DB13ZZ — Excision of Upper Esophagus, Percutaneous Approach, 0DB17ZZ — Excision of Upper Esophagus, Via Natural or Artificial Opening, 0DB18ZZ — Excision of Upper Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB23ZZ — Excision of Middle Esophagus, Percutaneous Approach, 0DB27ZZ — Excision of Middle Esophagus, Via Natural or Artificial Opening, 0DB28ZZ — Excision of Middle Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB33ZZ — Excision of Lower Esophagus, Percutaneous Approach, 0DB37ZZ — Excision of Lower Esophagus, Via Natural or Artificial Opening, 0DB38ZZ — Excision of Lower Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB43ZZ — Excision of Esophagogastric Junction, Percutaneous Approach, 0DB47ZZ — Excision of Esophagogastric Junction, Via Natural or Artificial Opening, 0DB48ZZ — Excision of Esophagogastric Junction, Via Natural or Artificial Opening Endoscopic, 0DB53ZZ — Excision of Esophagus, Percutaneous Approach, 0DB57ZZ — Excision of Esophagus, Via Natural or Artificial Opening, 0DB58ZZ — Excision of Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB63Z3 — Excision of Stomach, Percutaneous Approach, Vertical, 0DB63ZZ — Excision of Stomach, Percutaneous Approach, 0DB67Z3 — Excision of Stomach, Via Natural or Artificial Opening, Vertical, 0DB67ZZ — Excision of Stomach, Via Natural or Artificial Opening, 0DB68Z3 — Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Vertical, +100 more

Contextual Map

Every relationship of 0D523Z3 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 0D523Z3 with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

MDC crossing · diagnoses (1865)

  • MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive 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
  • A00.0 — Cholera due to Vibrio cholerae 01, biovar cholerae[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar cholerae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A00.1 — Cholera due to Vibrio cholerae 01, biovar eltor[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar eltor — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A00.9 — Cholera, unspecified[Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A02.0 — Salmonella enteritis[Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A03.0 — Shigellosis due to Shigella dysenteriae[Same-MDC diagnosis]: “Shigellosis due to Shigella dysenteriae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • and 1860 more

Nearest codes

Change history

Change history

  • FY2023 — October 1, 2022
    Added to the code set
    Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach
    FY2023 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