0F540Z3Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Open Approach

0F540Z3 is the ICD-10-PCS code for a destruction procedure on the gallbladder using an open 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 0F500Z3 (liver), 0F510Z3 (liver, right lobe), 0F520Z3 (liver, left lobe), 0F550Z3 (right hepatic duct), 0F560Z3 (left hepatic duct), 0F570Z3 (hepatic duct, common) and 6 more.

The same procedure with a different approach is coded 0F543Z3 (percutaneous) and 0F544Z3 (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 411 (Cholecystectomy with C.D.E. with MCC), DRG 412 (Cholecystectomy with C.D.E. with CC), DRG 413 (Cholecystectomy with C.D.E. without CC/MCC), DRG 414 (Cholecystectomy Except by Laparoscope without C.D.E. with MCC), DRG 415 (Cholecystectomy Except by Laparoscope without C.D.E. with CC) and DRG 416 (Cholecystectomy Except by Laparoscope without C.D.E. without CC/MCC), under the surgical categories “Cholecystectomy except by laparoscope”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 2 more.

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