0M5K4ZZDestruction of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach

0M5K4ZZ is the ICD-10-PCS code for a destruction procedure on the perineum bursa and ligament using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other local excision or destruction of lesion of joint, other specified sites, the ICD-9-CM procedure title it maps to (80.89).

For a different body part, codes include 0M504ZZ (head and neck bursa and ligament), 0M514ZZ (right shoulder bursa and ligament), 0M524ZZ (left shoulder bursa and ligament), 0M534ZZ (right elbow bursa and ligament), 0M544ZZ (left elbow bursa and ligament), 0M554ZZ (right wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0M5K0ZZ (open) and 0M5K3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.