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ICD 10 Code 0D5N4Z3

Destruction of Sigmoid Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
“Destruction of Sigmoid Colon using LITT, Perc Endo Approach” for short

0D5N4Z3 is a valid billable ICD-10 procedure code for Destruction of Sigmoid Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Destruction involves:
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

Percutaneous Endoscopic approach involves:
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

Destruction includes:

  • Fulguration of rectal polyp, cautery of skin lesion

Sigmoid Colon body part includes:

  • Rectosigmoid junction
  • Sigmoid flexure
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 06 Diseases & Disorders of the Digestive System
    Minor Small and Large Bowel Procedures
    • DRG 344 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
    • DRG 345 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
    • DRG 346 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

ICD-10-PCS code structure for 0D5N4Z3 — See Table View

1: Section 0 Medical and Surgical
2: Body System D Gastrointestinal System
3: Root Operation 5 Destruction
4: Body Part N Sigmoid Colon
5: Approach 4 Percutaneous Endoscopic
6: Device Z No Device
7: Qualifier 3 Laser Interstitial Thermal Therapy

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.