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Inpatient Procedure Code

0G500Z3

Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Open Approach

Destruction of Pituitary Gland 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemG

Endocrine 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 Part0

Pituitary Gland

5
Approach0

Open

6
DeviceZ

No Device

7
Qualifier3

Laser Interstitial Thermal Therapy

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 10 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0G500Z3 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.

PCS table

  • 0G5[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation (10)

  • DRG 023 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR [MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis (MDC 01)”
  • DRG 024 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC [MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis (MDC 01)”
  • DRG 025 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC [MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — Craniotomy and endovascular intracranial procedures (MDC 01)”
  • DRG 026 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC [MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — Craniotomy and endovascular intracranial procedures (MDC 01)”
  • DRG 027 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC [MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — Craniotomy and endovascular intracranial procedures (MDC 01)”
  • DRG 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
  • DRG 580 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
  • DRG 581 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
  • and 2 more

MDC crossing · diagnoses (8077)

  • MDC 01 — Diseases and Disorders of the Nervous System [MDC crossing]: “Diseases and Disorders of the Nervous 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.”
  • MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast [MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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.”
  • A02.21 — Salmonella meningitis [Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A06.6 — Amebic brain abscess [Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.0 — Tuberculous meningitis [Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.1 — Meningeal tuberculoma [Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.81 — Tuberculoma of brain and spinal cord [Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • and 8072 more

Nearest codes

  • 0G500ZZ — Destruction of Pituitary Gland, Open Approach [One axis away]
  • 0G503Z3 — Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Percutaneous Approach [One axis away]
  • 0G504Z3 — Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach [One axis away]
  • 0G510Z3 — Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Open Approach [One axis away]
  • 0G520Z3 — Destruction of Left Adrenal Gland using Laser Interstitial Thermal Therapy, Open Approach [One axis away]
  • 0G530Z3 — Destruction of Right Adrenal Gland using Laser Interstitial Thermal Therapy, Open Approach [One axis away]
  • 0G540Z3 — Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Open Approach [One axis away]
  • 0G560Z3 — Destruction of Left Carotid Body using Laser Interstitial Thermal Therapy, Open Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.