0G500Z3Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Open Approach

0G500Z3 is the ICD-10-PCS code for a destruction procedure on the pituitary gland 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 0G510Z3 (pineal body), 0G520Z3 (left adrenal gland), 0G530Z3 (right adrenal gland), 0G540Z3 (bilateral adrenal glands), 0G560Z3 (left carotid body), 0G570Z3 (right carotid body) and 15 more.

The same procedure with a different approach is coded 0G503Z3 (percutaneous) and 0G504Z3 (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 1 more.

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