005X4Z3Destruction of Thoracic Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
- Billable / Specific Code
005X4Z3 is a billable ICD-10-PCS procedure code for Destruction of Thoracic Spinal Cord 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
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 0 | Central Nervous System and Cranial Nerves |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | X | Thoracic Spinal Cord |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | 3 | Laser Interstitial Thermal Therapy |
Code History
- D0Y6KZZ — Laser Interstitial Thermal Therapy of Spinal Cord
Similar Procedure Codes
Questions About 005X4Z3
Is 005X4Z3 a billable code?
Yes. 005X4Z3 is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Thoracic Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 005X4Z3 mean?
005X4Z3 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 X is the BodyPart (Thoracic Spinal Cord); 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 005X4Z3 group to?
On an inpatient stay, Destruction of Thoracic Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach maps to MS-DRGs 028, 029, 030, 518, 519, 520, 820, 821, 822, 826, 827, 828, with relative weights from 1.2040 to 6.0083. The MS-DRG sets the fixed Medicare payment for the stay.
