0G540ZZDestruction of Bilateral Adrenal Glands, Open Approach
- Billable / Specific Code
0G540ZZ is a billable ICD-10-PCS procedure code for Destruction of Bilateral Adrenal Glands, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 614, 615. 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Adrenalectomy.
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 | G | Endocrine System |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | 4 | Adrenal Glands, Bilateral |
| 5 | Approach | 0 | Open |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code destruction of the bilateral adrenal gland, open the FY 2027 ICD-10-PCS Alphabetic Index at Destruction, then the subterms Gland, Adrenal, Bilateral. The index leads to table 0G5, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0G540ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0G540ZZ
Is 0G540ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Bilateral Adrenal Glands, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0G540ZZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character G is the Body System (Endocrine System); the 3rd character 5 is the Operation (Destruction); the 4th character 4 is the BodyPart (Adrenal Glands, Bilateral); the 5th character 0 is the Approach (Open); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0G540ZZ group to?
On an inpatient stay, Destruction of Bilateral Adrenal Glands, Open Approach maps to MS-DRGs 614, 615, with relative weights from 1.3611 to 2.0304. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0G540ZZ?
Under the General Equivalence Mappings, Destruction of Bilateral Adrenal Glands, Open Approach crosswalks to ICD-9-PCS 07.21 (Excision of lesion of adrenal gland). The mapping is approximate, so confirm it fits the documentation.
