Version 2025
Billable Code

2025 ICD-10-CM Procedure Code 0D5M4Z3

Destruction of Descending Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

ICD-10-PCS Code:
0D5M4Z3
ICD-10-PCS Code for:
Destruction of Descend Colon using LITT, Perc Endo Approach
Is Billable?
Yes - Valid for Submission
Code Navigator:

0D5M4Z3 is a billable procedure code used to specify the performance of destruction of descending colon 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

0D5M4Z3 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 gastrointestinal system body system, classified under destruction operation. The applicable bodypart for this procedure code is descending colon.

Position Designation Character Label Procedures Notes
1 Section 0 Medical and Surgical
2 Body System D Gastrointestinal 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 M Descending Colon  
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

0D5M4Z3 replaces the following previously assigned ICD-10-PCS code(s):

  • DDY0KZZ - Laser Interstitial Thermal Therapy of Esophagus
  • DDY0KZZ - Laser Interstitial Thermal Therapy of Esophagus
  • DDY0KZZ - Laser Interstitial Thermal Therapy of Esophagus

Clinical Classification

  • Clinical Category is Colectomy

  • CCSR Category Code: GIS009
  • Clinical Domain is Gastrointestinal System Procedures - GIS contains 29 categories that include procedures performed on the gastrointestinal (GI) system, such as appendectomy, gastrostomy, and colonoscopy and proctoscopy with biopsy.

Other ICD-10-PCS Codes Used for Destruction Descending Colon


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.