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ICD-10-PCS 2027 procedure code

0P533Z3Destruction of Cervical Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Cervical Vertebra 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 0P533Z3

0P533Z3 is the ICD-10-PCS code for a destruction procedure on the cervical vertebra 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 0P543Z3 (thoracic vertebra).

The same procedure with a different approach is coded 0P530Z3 (open) and 0P534Z3 (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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

What each character means

1. Section
0Medical and Surgical
2. Body System
PUpper Bones
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
3Cervical Vertebra

Includes: Dens; Odontoid process; Spinous process; Transverse foramen; Transverse process; Vertebral arch; Vertebral body; Vertebral foramen; Vertebral lamina; Vertebral pedicle

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 body part

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 0P533Z3

Is 0P533Z3 a valid ICD-10-PCS code for 2027?

Yes. 0P533Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0P533Z3 an O.R. procedure?

Yes. 0P533Z3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0P533Z3 group to?

Depending on the principal diagnosis, 0P533Z3 can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 907, MS-DRG 908 and MS-DRG 909.