2025 ICD-10-CM Procedure Code 0B5F4Z3

Destruction of Right Lower Lung Lobe using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

ICD-10-PCS Code:: 0B5F4Z3
ICD-10-PCS Code for:: Destruction R Low Lung Lobe w LITT, Perc Endo
Is Billable?: Yes - Valid for Submission
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0B5F4Z3 is a billable procedure code used to specify the performance of destruction of right lower lung lobe using laser interstitial thermal therapy, percutaneous endoscopic approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. Procedure code explanation: none of the body part is physically taken out fulguration of rectal polyp, cautery of skin lesion

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Other Similar Codes

0B5F4Z3 PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the respiratory system body system, classified under destruction operation. The applicable bodypart for this procedure code is lower lung lobe, right.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	B	Respiratory System
3	Operation	5	Destruction	Involves: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent Explanation: None of the body part is physically taken out Includes: Fulguration of rectal polyp, cautery of skin lesion
4	BodyPart	F	Lower Lung Lobe, Right
5	Approach	4	Percutaneous Endoscopic	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
6	Device	Z	No Device	Explanation: The value Z is used for the sixth character to indicate that a specific device does not apply to the procedure.
7	Qualifier	3	Laser Interstitial Thermal Therapy

Replacement Code

0B5F4Z3 replaces the following previously assigned ICD-10-PCS code(s):

DBY2KZZ - Laser Interstitial Thermal Therapy of Lung
DBY2KZZ - Laser Interstitial Thermal Therapy of Lung
DBY2KZZ - Laser Interstitial Thermal Therapy of Lung

Clinical Classification

Clinical Category is Lung, pleura, or diaphragm resection (open and thoracoscopic)
CCSR Category Code: RES008
Clinical Domain is Respiratory System Procedures - RES contains 14 categories that include procedures performed on the respiratory system such as airway intubation, bronchoscopy, chest tube placement and therapeutic thoracentesis, and tracheostomy.

0B5F4Z3 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 0B5F4Z3 is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
163	Major Chest Procedures with MCC	04
164	Major Chest Procedures with CC	04
165	Major Chest Procedures without CC/MCC	04
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC	17
821	Lymphoma and Leukemia with Major O.R. Procedures with CC	17
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC	17
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC	17
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC	17
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC	17

Other ICD-10-PCS Codes Used for Destruction Lower Lung Lobe, Right

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What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.