Skip to main content
ICD-10-PCS/0G5/0G540Z3
Inpatient Procedure Code

0G540Z3

Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Open Approach

Destruction of Bi Adrenal 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 Part4

Adrenal Glands, Bilateral

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 2 MS-DRGs:

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

Contextual Map

Every relationship of 0G540Z3 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 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 (633)

  • 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.”
  • A18.7 — Tuberculosis of adrenal glands [Same-MDC diagnosis]: “Tuberculosis of adrenal glands — grouped in MDC 10, the diagnosis side of this code's crossing.” · check together
  • A18.81 — Tuberculosis of thyroid gland [Same-MDC diagnosis]: “Tuberculosis of thyroid gland — grouped in MDC 10, the diagnosis side of this code's crossing.” · check together
  • B67.31 — Echinococcus granulosus infection, thyroid gland [Same-MDC diagnosis]: “Echinococcus granulosus infection, thyroid gland — grouped in MDC 10, the diagnosis side of this code's crossing.” · check together
  • C73 — Malignant neoplasm of thyroid gland [Same-MDC diagnosis]: “Malignant neoplasm of thyroid gland — grouped in MDC 10, the diagnosis side of this code's crossing.” · check together
  • C74.00 — Malignant neoplasm of cortex of unspecified adrenal gland [Same-MDC diagnosis]: “Malignant neoplasm of cortex of unspecified adrenal gland — grouped in MDC 10, the diagnosis side of this code's crossing.” · check together
  • and 628 more

Nearest codes

  • 0G500Z3 — Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Open 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]
  • 0G540ZZ — Destruction of Bilateral Adrenal Glands, Open Approach [One axis away]
  • 0G543Z3 — Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Approach [One axis away]
  • 0G544Z3 — Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic 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.