0N5V4ZZ ICD-10-PCS Code: Destruction of Left Mandible, Percutaneous Endoscopic Approach
Destruction of Left Mandible, 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 SystemN | Head and Facial Bones |
| 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 PartV | Mandible, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 12 MS-DRGs:
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- MDC 08 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
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.
0N5L4ZZ — Destruction of Left Palatine Bone, Percutaneous Endoscopic Approach, 0N5M4ZZ — Destruction of Right Zygomatic Bone, Percutaneous Endoscopic Approach, 0N5N4ZZ — Destruction of Left Zygomatic Bone, Percutaneous Endoscopic Approach, 0N5P4ZZ — Destruction of Right Orbit, Percutaneous Endoscopic Approach, 0N5Q4ZZ — Destruction of Left Orbit, Percutaneous Endoscopic Approach, 0N5R4ZZ — Destruction of Maxilla, Percutaneous Endoscopic Approach, 0N5T4ZZ — Destruction of Right Mandible, Percutaneous Endoscopic Approach, 0N5X4ZZ — Destruction of Hyoid Bone, Percutaneous Endoscopic Approach, +14 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0N5V0ZZ — Destruction of Left Mandible, Open Approach, 0N5V3ZZ — Destruction of Left Mandible, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone excision (Musculoskeletal, Subcutaneous Tissue, and Fascia 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.
0NB00ZZ — Excision of Skull, Open Approach, 0NB03ZZ — Excision of Skull, Percutaneous Approach, 0NB04ZZ — Excision of Skull, Percutaneous Endoscopic Approach, 0NB10ZZ — Excision of Frontal Bone, Open Approach, 0NB13ZZ — Excision of Frontal Bone, Percutaneous Approach, 0NB14ZZ — Excision of Frontal Bone, Percutaneous Endoscopic Approach, 0NB30ZZ — Excision of Right Parietal Bone, Open Approach, 0NB33ZZ — Excision of Right Parietal Bone, Percutaneous Approach, 0NB34ZZ — Excision of Right Parietal Bone, Percutaneous Endoscopic Approach, 0NB40ZZ — Excision of Left Parietal Bone, Open Approach, 0NB43ZZ — Excision of Left Parietal Bone, Percutaneous Approach, 0NB44ZZ — Excision of Left Parietal Bone, Percutaneous Endoscopic Approach, 0NB50ZZ — Excision of Right Temporal Bone, Open Approach, 0NB53ZZ — Excision of Right Temporal Bone, Percutaneous Approach, 0NB54ZZ — Excision of Right Temporal Bone, Percutaneous Endoscopic Approach, 0NB60ZZ — Excision of Left Temporal Bone, Open Approach, 0NB63ZZ — Excision of Left Temporal Bone, Percutaneous Approach, 0NB64ZZ — Excision of Left Temporal Bone, Percutaneous Endoscopic Approach, 0NB70ZZ — Excision of Occipital Bone, Open Approach, 0NB73ZZ — Excision of Occipital Bone, Percutaneous Approach, +524 more
Contextual Map
Every relationship of 0N5V4ZZ 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 0N5V4ZZ with these 5 related codes in Claim Check
PCS table
- 0N5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Head and Facial Bones — Body System: Head and Facial Bones[Body System]: “Head and Facial Bones”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation (12)
- DRG 143 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 144 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 145 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 496 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 4 more
Clinical classification (CCSR)
- MST018 — Bone excision[CCSR category]: “Bone excision — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (33179)
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — 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
- A18.6 — Tuberculosis of (inner) (middle) ear[Same-MDC diagnosis]: “Tuberculosis of (inner) (middle) ear — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A36.0 — Pharyngeal diphtheria[Same-MDC diagnosis]: “Pharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A36.1 — Nasopharyngeal diphtheria[Same-MDC diagnosis]: “Nasopharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A36.2 — Laryngeal diphtheria[Same-MDC diagnosis]: “Laryngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A54.5 — Gonococcal pharyngitis[Same-MDC diagnosis]: “Gonococcal pharyngitis — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 33174 more
Nearest codes
- 0N504ZZ — Destruction of Skull, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0N514ZZ — Destruction of Frontal Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0N534ZZ — Destruction of Right Parietal Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0N544ZZ — Destruction of Left Parietal Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0N554ZZ — Destruction of Right Temporal Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0N564ZZ — Destruction of Left Temporal Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0N574ZZ — Destruction of Occipital Bone, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0N5B4ZZ — Destruction of Nasal Bone, 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