0F5G4Z3 ICD-10-PCS Code: Destruction of Pancreas using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
Destruction of Pancreas 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 SystemF | Hepatobiliary System and Pancreas |
| 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 PartG | Pancreas |
| 5 | Approach4 | Percutaneous Endoscopic |
| 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.
0F554Z3 — Destruction of Right Hepatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0F564Z3 — Destruction of Left Hepatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0F574Z3 — Destruction of Common Hepatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0F584Z3 — Destruction of Cystic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0F594Z3 — Destruction of Common Bile Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0F5C4Z3 — Destruction of Ampulla of Vater using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0F5D4Z3 — Destruction of Pancreatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0F5F4Z3 — Destruction of Accessory Pancreatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, +4 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0F5G0Z3 — Destruction of Pancreas using Laser Interstitial Thermal Therapy, Open Approach, 0F5G3Z3 — Destruction of Pancreas using Laser Interstitial Thermal Therapy, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0F5G4ZF — Destruction of Pancreas using Irreversible Electroporation, Percutaneous Endoscopic Approach, 0F5G4ZZ — Destruction of Pancreas, 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 Pancreatectomy (Hepatobiliary and Pancreas 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.
0FBC0ZZ — Excision of Ampulla of Vater, Open Approach, 0FBC3ZZ — Excision of Ampulla of Vater, Percutaneous Approach, 0FBC4ZZ — Excision of Ampulla of Vater, Percutaneous Endoscopic Approach, 0FBC7ZZ — Excision of Ampulla of Vater, Via Natural or Artificial Opening, 0FBC8ZZ — Excision of Ampulla of Vater, Via Natural or Artificial Opening Endoscopic, 0FBD0ZZ — Excision of Pancreatic Duct, Open Approach, 0FBD3ZZ — Excision of Pancreatic Duct, Percutaneous Approach, 0FBD4ZZ — Excision of Pancreatic Duct, Percutaneous Endoscopic Approach, 0FBD7ZZ — Excision of Pancreatic Duct, Via Natural or Artificial Opening, 0FBD8ZZ — Excision of Pancreatic Duct, Via Natural or Artificial Opening Endoscopic, 0FBF0ZZ — Excision of Accessory Pancreatic Duct, Open Approach, 0FBF3ZZ — Excision of Accessory Pancreatic Duct, Percutaneous Approach, 0FBF4ZZ — Excision of Accessory Pancreatic Duct, Percutaneous Endoscopic Approach, 0FBF7ZZ — Excision of Accessory Pancreatic Duct, Via Natural or Artificial Opening, 0FBF8ZZ — Excision of Accessory Pancreatic Duct, Via Natural or Artificial Opening Endoscopic, 0FBG0ZZ — Excision of Pancreas, Open Approach, 0FBG3ZZ — Excision of Pancreas, Percutaneous Approach, 0FBG4ZG — Excision of Pancreas, Percutaneous Endoscopic Approach, Hand-Assisted, 0FBG4ZZ — Excision of Pancreas, Percutaneous Endoscopic Approach, 0FBG8ZZ — Excision of Pancreas, Via Natural or Artificial Opening Endoscopic, +15 more
Contextual Map
Every relationship of 0F5G4Z3 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 0F5G4Z3 with these 5 related codes in Claim Check
PCS table
- 0F5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Hepatobiliary System and Pancreas — Body System: Hepatobiliary System and Pancreas[Body System]: “Hepatobiliary System and Pancreas”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 405 — PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC[MS-DRG]: “PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC — Pancreas, Liver and Shunt Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 406 — PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC[MS-DRG]: “PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC — Pancreas, Liver and Shunt Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 407 — PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC[MS-DRG]: “PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC — Pancreas, Liver and Shunt Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- HEP005 — Pancreatectomy[CCSR category]: “Pancreatectomy — Hepatobiliary and Pancreas Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (298)
- MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas[MDC crossing]: “Diseases and Disorders of the Hepatobiliary System and Pancreas — 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
- A06.4 — Amebic liver abscess[Same-MDC diagnosis]: “Amebic liver abscess — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A51.45 — Secondary syphilitic hepatitis[Same-MDC diagnosis]: “Secondary syphilitic hepatitis — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A52.74 — Syphilis of liver and other viscera[Same-MDC diagnosis]: “Syphilis of liver and other viscera — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- B15.0 — Hepatitis A with hepatic coma[Same-MDC diagnosis]: “Hepatitis A with hepatic coma — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- B15.9 — Hepatitis A without hepatic coma[Same-MDC diagnosis]: “Hepatitis A without hepatic coma — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 293 more
Nearest codes
- 0F504Z3 — Destruction of Liver using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0F514Z3 — Destruction of Right Lobe Liver using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0F524Z3 — Destruction of Left Lobe Liver using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0F544Z3 — Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0F554Z3 — Destruction of Right Hepatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0F564Z3 — Destruction of Left Hepatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0F574Z3 — Destruction of Common Hepatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0F584Z3 — Destruction of Cystic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic 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