ICD-10-PCS 2027 procedure code
005X4Z3Destruction of Thoracic Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
Short description: Destruction Thor Spinal Cord w LITT, Perc Endo
Code last changed in FY2023 (effective October 1, 2022). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 005X4Z3
005X4Z3 is the ICD-10-PCS code for a destruction procedure on the thoracic spinal cord using a percutaneous endoscopic approach (qualifier: laser interstitial thermal therapy). In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.
For a different body part, codes include 00504Z3 (brain), 005W4Z3 (cervical spinal cord) and 005Y4Z3 (lumbar spinal cord).
The same procedure with a different approach is coded 005X0Z3 (open) and 005X3Z3 (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 1 more.
It was added in FY2023, effective October 1, 2022.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- 0Central Nervous System and Cranial Nerves
- 3. Operation
- 5Destruction
Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
None of the body part is physically taken out
Includes: Fulguration of rectal polyp, cautery of skin lesion
- 4. Body Part
- XThoracic Spinal Cord
Includes: Dorsal root ganglion
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- 3Laser Interstitial Thermal Therapy
Other versions of this procedure
Different body part
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Spinal Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2023 (effective 10/1/2022): Added
- No changes since FY2023.
Common questions about 005X4Z3
Is 005X4Z3 a valid ICD-10-PCS code for 2027?
- Yes. 005X4Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 005X4Z3 an O.R. procedure?
- Yes. 005X4Z3 is an O.R. procedure in MS-DRG v44.0.
What DRG does 005X4Z3 group to?
- Depending on the principal diagnosis, 005X4Z3 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.