0D5P0Z3 ICD-10-PCS Code: Destruction of Rectum using Laser Interstitial Thermal Therapy, Open Approach
Destruction of Rectum using LITT, Open 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 PartP | Rectum |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | Qualifier3 | Laser Interstitial Thermal Therapy |
MS-DRG Grouper Relationships (FY2026)
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.
0D5G0Z3 — Destruction of Left Large Intestine using Laser Interstitial Thermal Therapy, Open Approach, 0D5H0Z3 — Destruction of Cecum using Laser Interstitial Thermal Therapy, Open Approach, 0D5J0Z3 — Destruction of Appendix using Laser Interstitial Thermal Therapy, Open Approach, 0D5K0Z3 — Destruction of Ascending Colon using Laser Interstitial Thermal Therapy, Open Approach, 0D5L0Z3 — Destruction of Transverse Colon using Laser Interstitial Thermal Therapy, Open Approach, 0D5M0Z3 — Destruction of Descending Colon using Laser Interstitial Thermal Therapy, Open Approach, 0D5N0Z3 — Destruction of Sigmoid Colon using Laser Interstitial Thermal Therapy, Open Approach, 0D5Q0Z3 — Destruction of Anus using Laser Interstitial Thermal Therapy, Open Approach, +14 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0D5P3Z3 — Destruction of Rectum using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0D5P4Z3 — Destruction of Rectum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0D5P0ZZ — Destruction of Rectum, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Proctectomy or anal resection (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.
0DBP0ZZ — Excision of Rectum, Open Approach, 0DBP4ZZ — Excision of Rectum, Percutaneous Endoscopic Approach, 0DBQ0ZZ — Excision of Anus, Open Approach, 0DBQ4ZZ — Excision of Anus, Percutaneous Endoscopic Approach, 0DBQXZZ — Excision of Anus, External Approach, 0DBR0ZZ — Excision of Anal Sphincter, Open Approach, 0DBR4ZZ — Excision of Anal Sphincter, Percutaneous Endoscopic Approach, 0DTP0ZZ — Resection of Rectum, Open Approach, 0DTP4ZZ — Resection of Rectum, Percutaneous Endoscopic Approach, 0DTQ0ZZ — Resection of Anus, Open Approach, 0DTQ4ZZ — Resection of Anus, Percutaneous Endoscopic Approach, 0DTR0ZZ — Resection of Anal Sphincter, Open Approach, 0DTR4ZZ — Resection of Anal Sphincter, Percutaneous Endoscopic Approach
Contextual Map
Every relationship of 0D5P0Z3 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 0D5P0Z3 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 344 — MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC[MS-DRG]: “MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — Minor Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 345 — MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC[MS-DRG]: “MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — Minor Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 346 — MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — Minor Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- GIS013 — Proctectomy or anal resection[CCSR category]: “Proctectomy or anal resection — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1195)
- 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 · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- 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) · FY2026
- and 1190 more
Nearest codes
- 0D510Z3 — Destruction of Upper Esophagus using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0D520Z3 — Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Open 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
- 0D540Z3 — Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0D550Z3 — Destruction of Esophagus using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0D560Z3 — Destruction of Stomach using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0D570Z3 — Destruction of Stomach, Pylorus using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0D580Z3 — Destruction of Small Intestine using Laser Interstitial Thermal Therapy, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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