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ICD-10-PCS 2027 procedure code

0F5F4Z3Destruction of Accessory Pancreatic Duct using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

✓ Valid for 2027Non-O.R. procedure

Short description: Destruction Access Pancr Duct 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 0F5F4Z3

0F5F4Z3 is the ICD-10-PCS code for a destruction procedure on the pancreatic duct, accessory 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 0F504Z3 (liver), 0F514Z3 (liver, right lobe), 0F524Z3 (liver, left lobe), 0F544Z3 (gallbladder), 0F554Z3 (right hepatic duct), 0F564Z3 (left hepatic duct) and 6 more.

The same procedure with a different approach is coded 0F5F0Z3 (open) and 0F5F3Z3 (percutaneous).

It is a non-O.R. procedure that is part of the MS-DRG logic for DRG 405 (Pancreas, Liver and Shunt Procedures with MCC), DRG 406 (Pancreas, Liver and Shunt Procedures with CC) and DRG 407 (Pancreas, Liver and Shunt Procedures without CC/MCC), under the surgical category “Pancreas, Liver and Shunt 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
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 0F5F4Z3

Is 0F5F4Z3 a valid ICD-10-PCS code for 2027?

Yes. 0F5F4Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0F5F4Z3 an O.R. procedure?

No. 0F5F4Z3 is designated non-O.R. in MS-DRG v44.0.

What DRG does 0F5F4Z3 group to?

Depending on the principal diagnosis, 0F5F4Z3 can group to MS-DRG 405, MS-DRG 406 and MS-DRG 407.