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ICD-10-PCS 2027 procedure code

0D554Z3Destruction of Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

✓ Valid for 2027Non-O.R. procedure

Short description: Destruction of Esophagus using LITT, Perc Endo Approach

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 0D554Z3

0D554Z3 is the ICD-10-PCS code for a destruction procedure on the esophagus 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 0D514Z3 (esophagus, upper), 0D524Z3 (esophagus, middle), 0D534Z3 (esophagus, lower), 0D544Z3 (esophagogastric junction), 0D564Z3 (stomach), 0D574Z3 (stomach, pylorus) and 16 more.

The same procedure with a different approach is coded 0D550Z3 (open) and 0D553Z3 (percutaneous).

It is a non-O.R. procedure that is part of the MS-DRG logic for DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC) and DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), under the surgical category “Stomach, Esophageal and Duodenal Procedures”.

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

What each character means

1. Section
0Medical and Surgical
2. Body System
DGastrointestinal 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
5Esophagus
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 0D554Z3

Is 0D554Z3 a valid ICD-10-PCS code for 2027?

Yes. 0D554Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D554Z3 an O.R. procedure?

No. 0D554Z3 is designated non-O.R. in MS-DRG v44.0.

What DRG does 0D554Z3 group to?

Depending on the principal diagnosis, 0D554Z3 can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.