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Inpatient Procedure Code

0D5Q4Z3 ICD-10-PCS Code: Destruction of Anus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

Destruction of Anus using LITT, Perc Endo Approach

Check this code on a claim

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 PartQ

Anus

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.

0D5G4Z3 — Destruction of Left Large Intestine using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5H4Z3 — Destruction of Cecum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5J4Z3 — Destruction of Appendix using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5K4Z3 — Destruction of Ascending Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5L4Z3 — Destruction of Transverse Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5M4Z3 — Destruction of Descending Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5N4Z3 — Destruction of Sigmoid Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5P4Z3 — Destruction of Rectum 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.

0D5Q0Z3 — Destruction of Anus using Laser Interstitial Thermal Therapy, Open Approach, 0D5Q3Z3 — Destruction of Anus using Laser Interstitial Thermal Therapy, Percutaneous Approach

Same operation — other Qualifier

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

0D5Q4ZZ — Destruction of Anus, 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 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 0D5Q4Z3 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 0D5Q4Z3 with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

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

Change history

Change history

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