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Inpatient Procedure Code

0G514Z3

Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

Destruction of Pineal Body 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.

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 Part1

Pineal Body

5
Approach4

Percutaneous Endoscopic

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 7 MS-DRGs:

  • MDC 01 — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis: DRG 023, DRG 024
  • MDC 01 — Craniotomy and endovascular intracranial procedures: DRG 025, DRG 026, DRG 027
  • MDC 10 — Adrenal and Pituitary Procedures: DRG 614, DRG 615

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

Contextual Map

Every relationship of 0G514Z3 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

  • 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 614 — ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC [MS-DRG]: “ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — Adrenal and Pituitary Procedures (MDC 10)”
  • DRG 615 — ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC [MS-DRG]: “ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC — Adrenal and Pituitary Procedures (MDC 10)”

MDC crossing · diagnoses (3269)

  • 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 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders [MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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 3264 more

Nearest codes

  • 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]
  • 0G513Z3 — Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Approach [One axis away]
  • 0G514ZZ — Destruction of Pineal Body, Percutaneous Endoscopic Approach [One axis away]
  • 0G524Z3 — Destruction of Left Adrenal Gland using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach [One axis away]
  • 0G534Z3 — Destruction of Right Adrenal Gland using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach [One axis away]
  • 0G544Z3 — Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach [One axis away]
  • 0G564Z3 — Destruction of Left Carotid Body using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach [One axis away]

Change history

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