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ICD-10-PCS 2027 procedure code

0B5D4Z3Destruction of Right Middle Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction R Mid Lung Lobe 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 0B5D4Z3

0B5D4Z3 is the ICD-10-PCS code for a destruction procedure on the right middle lung lobe 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 0B5C4Z3 (right upper lung lobe), 0B5F4Z3 (right lower lung lobe), 0B5G4Z3 (left upper lung lobe), 0B5H4Z3 (lung lingula), 0B5J4Z3 (left lower lung lobe), 0B5K4Z3 (right lung) and 2 more.

The same procedure with a different approach is coded 0B5D0Z3 (open) and 0B5D3Z3 (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Major Chest Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures”.

It was added in FY2023, effective October 1, 2022.

What each character means

1. Section
0Medical and Surgical
2. Body System
BRespiratory System
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
DMiddle Lung Lobe, Right
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 qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2023 (effective 10/1/2022): Added
  • No changes since FY2023.

Common questions about 0B5D4Z3

Is 0B5D4Z3 a valid ICD-10-PCS code for 2027?

Yes. 0B5D4Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0B5D4Z3 an O.R. procedure?

Yes. 0B5D4Z3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0B5D4Z3 group to?

Depending on the principal diagnosis, 0B5D4Z3 can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 820, MS-DRG 821 and MS-DRG 822.