0D534Z3 ICD-10-PCS Code: Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
Destruction of Low Esophag 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 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 Part3 | Esophagus, Lower |
| 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 a non-operating-room procedure. It appears in the surgical logic of 3 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.
0D514Z3 — Destruction of Upper Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D524Z3 — Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D544Z3 — Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D554Z3 — Destruction of Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D564Z3 — Destruction of Stomach using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D574Z3 — Destruction of Stomach, Pylorus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D584Z3 — Destruction of Small Intestine using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D594Z3 — Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, +14 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0D530Z3 — Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Open Approach, 0D533Z3 — Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0D534ZZ — Destruction of Lower Esophagus, 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 Esophagectomy (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.
0D134K4 — Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0D134Z4 — Bypass Lower Esophagus to Cutaneous, Percutaneous Endoscopic Approach, 0D15074 — Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach, 0D150J4 — Bypass Esophagus to Cutaneous with Synthetic Substitute, Open Approach, 0D150K4 — Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach, 0D150Z4 — Bypass Esophagus to Cutaneous, Open Approach, 0D15474 — Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0D154J4 — Bypass Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach, 0D154K4 — Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0D154Z4 — Bypass Esophagus to Cutaneous, Percutaneous Endoscopic Approach, 0DB10ZZ — Excision of Upper Esophagus, Open Approach, 0DB14ZZ — Excision of Upper Esophagus, Percutaneous Endoscopic Approach, 0DB20ZZ — Excision of Middle Esophagus, Open Approach, 0DB24ZZ — Excision of Middle Esophagus, Percutaneous Endoscopic Approach, 0DB30ZZ — Excision of Lower Esophagus, Open Approach, 0DB34ZZ — Excision of Lower Esophagus, Percutaneous Endoscopic Approach, 0DB50ZZ — Excision of Esophagus, Open Approach, 0DB54ZZ — Excision of Esophagus, Percutaneous Endoscopic Approach, 0DT10ZZ — Resection of Upper Esophagus, Open Approach, 0DT14ZZ — Resection of Upper Esophagus, Percutaneous Endoscopic Approach, +28 more
Contextual Map
Every relationship of 0D534Z3 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 0D534Z3 with these 5 related codes in Claim Check
PCS table
- 0D5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Gastrointestinal System — Body System: Gastrointestinal System[Body System]: “Gastrointestinal System”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 326 — STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC[MS-DRG]: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC — Stomach, Esophageal and Duodenal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 327 — STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC[MS-DRG]: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — Stomach, Esophageal and Duodenal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 328 — STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — Stomach, Esophageal and Duodenal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
Clinical classification (CCSR)
- GIS014 — Esophagectomy[CCSR category]: “Esophagectomy — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1199)
- 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
- 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 1194 more
Nearest codes
- 0D514Z3 — Destruction of Upper Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0D524Z3 — Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0D530Z3 — Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0D533Z3 — Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D534ZZ — Destruction of Lower Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0D544Z3 — Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0D554Z3 — Destruction of Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0D564Z3 — Destruction of Stomach 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 Lower Esophagus 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