Inpatient Procedure Code
0GT40ZZ
Resection of Bilateral Adrenal Glands, 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemG | Endocrine System |
| 3 | Root OperationT | Resection Cutting out or off, without replacement, all of a body part |
| 4 | Body Part4 | Adrenal Glands, Bilateral |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 5 MS-DRGs:
- MDC 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
- 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 0GT40ZZ 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
- 0GT[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 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)”
- 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 (6074)
- 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.”
- 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.”
- A06.7 — Cutaneous amebiasis [Same-MDC diagnosis]: “Cutaneous amebiasis — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
- A18.4 — Tuberculosis of skin and subcutaneous tissue [Same-MDC diagnosis]: “Tuberculosis of skin and subcutaneous tissue — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
- A22.0 — Cutaneous anthrax [Same-MDC diagnosis]: “Cutaneous anthrax — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
- A31.1 — Cutaneous mycobacterial infection [Same-MDC diagnosis]: “Cutaneous mycobacterial infection — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
- A36.3 — Cutaneous diphtheria [Same-MDC diagnosis]: “Cutaneous diphtheria — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
- and 6069 more
Nearest codes
- 0GT00ZZ — Resection of Pituitary Gland, Open Approach [One axis away]
- 0GT10ZZ — Resection of Pineal Body, Open Approach [One axis away]
- 0GT20ZZ — Resection of Left Adrenal Gland, Open Approach [One axis away]
- 0GT30ZZ — Resection of Right Adrenal Gland, Open Approach [One axis away]
- 0GT44ZZ — Resection of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach [One axis away]
- 0GT60ZZ — Resection of Left Carotid Body, Open Approach [One axis away]
- 0GT70ZZ — Resection of Right Carotid Body, Open Approach [One axis away]
- 0GT80ZZ — Resection of Bilateral Carotid Bodies, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.