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ICD-10-PCS 2027 procedure code

0F5F3Z3Destruction of Accessory Pancreatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Access Pancr Duct using LITT, Perc 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 0F5F3Z3

0F5F3Z3 is the ICD-10-PCS code for a destruction procedure on the pancreatic duct, accessory using a percutaneous 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 0F503Z3 (liver), 0F513Z3 (liver, right lobe), 0F523Z3 (liver, left lobe), 0F543Z3 (gallbladder), 0F553Z3 (right hepatic duct), 0F563Z3 (left hepatic duct) and 6 more.

The same procedure with a different approach is coded 0F5F0Z3 (open) and 0F5F4Z3 (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 405 (Pancreas, Liver and Shunt Procedures with MCC), DRG 406 (Pancreas, Liver and Shunt Procedures with CC), DRG 407 (Pancreas, Liver and Shunt Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Pancreas, Liver and Shunt Procedures” and “Other Endocrine, Nutritional and Metabolic O.R. Procedures”.

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

What each character means

1. Section
0Medical and Surgical
2. Body System
FHepatobiliary System and Pancreas
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
FPancreatic Duct, Accessory

Includes: Duct of Santorini

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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 0F5F3Z3

Is 0F5F3Z3 a valid ICD-10-PCS code for 2027?

Yes. 0F5F3Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0F5F3Z3 an O.R. procedure?

Yes. 0F5F3Z3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0F5F3Z3 group to?

Depending on the principal diagnosis, 0F5F3Z3 can group to MS-DRG 405, MS-DRG 406, MS-DRG 407, MS-DRG 628, MS-DRG 629 and MS-DRG 630.