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ICD-10-PCS 2027 procedure code

0V504Z3Destruction of Prostate using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedureMale only

Short description: Destruction of Prostate using LITT, Perc Endo 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 0V504Z3

0V504Z3 is the ICD-10-PCS code for a destruction procedure on the prostate 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.

The same procedure with a different approach is coded 0V500Z3 (open) and 0V503Z3 (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 665 (Prostatectomy with MCC), DRG 666 (Prostatectomy with CC), DRG 667 (Prostatectomy without CC/MCC), DRG 707 (Major Male Pelvic Procedures with CC/MCC) and DRG 708 (Major Male Pelvic Procedures without CC/MCC), under the surgical categories “Prostatectomy” and “Major Male Pelvic Procedures”.

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

What each character means

1. Section
0Medical and Surgical
2. Body System
VMale Reproductive System
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
0Prostate
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.

MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Prostatectomy

MDC 12 · Diseases and Disorders of the Male Reproductive System · Major Male Pelvic Procedures

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 0V504Z3

Is 0V504Z3 a valid ICD-10-PCS code for 2027?

Yes. 0V504Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0V504Z3 an O.R. procedure?

Yes. 0V504Z3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0V504Z3 group to?

Depending on the principal diagnosis, 0V504Z3 can group to MS-DRG 665, MS-DRG 666, MS-DRG 667, MS-DRG 707 and MS-DRG 708.