00504Z3Destruction of Brain using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 00504Z3
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

00504Z3 is a billable ICD-10-PCS procedure code for Destruction of Brain using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

Code Identity

ICD-10-PCS Code
00504Z3
Billable Status
Yes — Valid for Submission
Code Describes
Destruction of Brain using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
Parent Code
Short Description
Destruction of Brain using LITT, Perc Endo Approach

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System0Central Nervous System and Cranial Nerves
3Operation5Destruction
4BodyPart0Brain
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7Qualifier3Laser Interstitial Thermal Therapy

Code History

Replaces previously assigned code(s):
  • D0Y0KZZ — Laser Interstitial Thermal Therapy of Brain

Similar Procedure Codes

Questions About 00504Z3

Is 00504Z3 a billable code?

Yes. 00504Z3 is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Brain using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 00504Z3 mean?

00504Z3 breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 0 is the Body System (Central Nervous System and Cranial Nerves); the 3rd character 5 is the Operation (Destruction); the 4th character 0 is the BodyPart (Brain); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character 3 is the Qualifier (Laser Interstitial Thermal Therapy).

What MS-DRG does 00504Z3 group to?

On an inpatient stay, Destruction of Brain using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach maps to MS-DRGs 025, 026, 027, 820, 821, 822, 826, 827, 828, 907, 908, 909, with relative weights from 1.2040 to 5.8648. The MS-DRG sets the fixed Medicare payment for the stay.