ICD-10-PCS Code For Pineal Body: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0G51 includes procedures performed to destroy all or a portion of the pineal body in the endocrine system. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs direct energy-, force-, or agent-based eradication of pineal tissue for treatment of tumors, cysts, or other pineal pathology. Accurate coding within the ICD-10-PCS 0G51 group is essential for proper inpatient reimbursement, as it captures the specific destructive procedure performed on the pineal body and supports clinical documentation accuracy and appropriate case mix assignment.

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Pineal Body Destruction Procedure Overview

This procedure group includes destruction of all or part of the pineal body within the endocrine system using energy, force, or a destructive agent. These procedures involve directly eradicating pineal tissue to treat lesions or dysregulated function affecting melatonin production and related endocrine effects. Accurate ICD-10-PCS coding of these destruction procedures is important for inpatient reimbursement because it documents the specific operation and anatomical target that determine case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
G	Body System	Endocrine System
5	Operation	Destruction
1	Body Part	Pineal Body

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ICD-10-PCS Code For Pineal Body: Procedure Code Group Overview

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Pineal Body Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
G	Body System	Endocrine System
5	Operation	Destruction
1	Body Part	Pineal Body

When to Use

Use a code from this group when the operative intent is to destroy pineal body tissue rather than excise or alter it through non-destructive means. Applicable clinical circumstances include treatment of pineal tumors, cysts, or other lesions where direct destruction is performed as the primary operative action.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0G510Z3	Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Open Approach
0G510ZZ	Destruction of Pineal Body, Open Approach
0G513Z3	Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Approach
0G513ZZ	Destruction of Pineal Body, Percutaneous Approach
0G514Z3	Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0G514ZZ	Destruction of Pineal Body, Percutaneous Endoscopic Approach

DRG Codes

10 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC
614	Adrenal and Pituitary Procedures with CC/MCC
615	Adrenal and Pituitary Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A 45-year-old patient presents with a symptomatic pineal region tumor causing obstructive hydrocephalus and progressive headaches. After neuroimaging confirms a small, well-circumscribed lesion centered in the pineal body and multidisciplinary review determines that tissue-sparing ablation is appropriate, the neurosurgical team performs an open destructive procedure using direct laser interstitial thermal therapy to eradicate the pineal tissue and decompress adjacent structures. The goal is definitive destruction of the lesion while minimizing manipulation of surrounding brain. Typical codes: 0G510Z3
An elderly patient is admitted emergently with sudden decline in consciousness from acute intratumoral hemorrhage in a recurrent pineal lesion producing rapid obstructive hydrocephalus. Because the operative plan is immediate, minimally invasive percutaneous access is chosen to directly destroy residual pineal tissue and control the lesion without a prolonged open craniotomy. The procedure targets eradication of the pineal body lesion to stabilize intracranial pressure and prevent further hemorrhage. Typical codes: 0G513ZZ
A young adult with a history of prior stereotactic excision of a pineal cyst returns with radiographic recurrence and persistent endocrine symptoms attributable to residual pineal tissue. The surgical team elects a percutaneous endoscopic destructive approach to ablate remaining pineal tissue under direct visualization to avoid another open resection. The operation is focused on destroying the residual pineal tissue to resolve the recurrent lesion and associated symptoms. Typical codes: 0G514Z3, 0G514ZZ

Related Codes

0G50-PITUITARY-GLAND-DESTRUCTION

ICD-10-PCS Code For Pituitary Gland: Procedure Code Group Overview

0G52-ADRENAL-GLAND-LEFT-DESTRUCTION

ICD-10-PCS Code For Adrenal Gland Left: Procedure Code Group Overview

0G53-ADRENAL-GLAND-RIGHT-DESTRUCTION

ICD-10-PCS Code For Adrenal Gland Right: Procedure Code Group Overview

0G54-ADRENAL-GLANDS-DESTRUCTION

ICD-10-PCS Code For Adrenal Glands Bilateral: Procedure Code Group Overview

0G56-CAROTID-BODY-LEFT-DESTRUCTION

ICD-10-PCS Code For Carotid Body Left: Procedure Code Group Overview

0G57-CAROTID-BODY-RIGHT-DESTRUCTION

ICD-10-PCS Code For Carotid Body, Right: Procedure Code Group Overview

0G58-CAROTID-BODIES-DESTRUCTION

ICD-10-PCS Code For Carotid Bodies, Bilateral: Procedure Code Group Overview

0G59-PARA-AORTIC-BODY-DESTRUCTION

ICD-10-PCS Code For Para-Aortic Body: Procedure Code Group Overview

0G5B-COCCYGEAL-GLOMUS-DESTRUCTION

ICD-10-PCS Code for Coccygeal Glomus: Procedure Code Group Overview

0G5C-GLOMUS-JUGULARE-DESTRUCTION

ICD-10-PCS Code For Glomus Jugulare: Procedure Code Group Overview

Showing 1–10 of 21

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0G510Z3	Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Open Approach
0G510ZZ	Destruction of Pineal Body, Open Approach
0G513Z3	Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Approach
0G513ZZ	Destruction of Pineal Body, Percutaneous Approach
0G514Z3	Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0G514ZZ	Destruction of Pineal Body, Percutaneous Endoscopic Approach

DRG Codes

10 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC
614	Adrenal and Pituitary Procedures with CC/MCC
615	Adrenal and Pituitary Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A 45-year-old patient presents with a symptomatic pineal region tumor causing obstructive hydrocephalus and progressive headaches. After neuroimaging confirms a small, well-circumscribed lesion centered in the pineal body and multidisciplinary review determines that tissue-sparing ablation is appropriate, the neurosurgical team performs an open destructive procedure using direct laser interstitial thermal therapy to eradicate the pineal tissue and decompress adjacent structures. The goal is definitive destruction of the lesion while minimizing manipulation of surrounding brain. Typical codes: 0G510Z3
An elderly patient is admitted emergently with sudden decline in consciousness from acute intratumoral hemorrhage in a recurrent pineal lesion producing rapid obstructive hydrocephalus. Because the operative plan is immediate, minimally invasive percutaneous access is chosen to directly destroy residual pineal tissue and control the lesion without a prolonged open craniotomy. The procedure targets eradication of the pineal body lesion to stabilize intracranial pressure and prevent further hemorrhage. Typical codes: 0G513ZZ
A young adult with a history of prior stereotactic excision of a pineal cyst returns with radiographic recurrence and persistent endocrine symptoms attributable to residual pineal tissue. The surgical team elects a percutaneous endoscopic destructive approach to ablate remaining pineal tissue under direct visualization to avoid another open resection. The operation is focused on destroying the residual pineal tissue to resolve the recurrent lesion and associated symptoms. Typical codes: 0G514Z3, 0G514ZZ

Related Codes

0G50-PITUITARY-GLAND-DESTRUCTION

ICD-10-PCS Code For Pituitary Gland: Procedure Code Group Overview

0G52-ADRENAL-GLAND-LEFT-DESTRUCTION

ICD-10-PCS Code For Adrenal Gland Left: Procedure Code Group Overview

0G53-ADRENAL-GLAND-RIGHT-DESTRUCTION

ICD-10-PCS Code For Adrenal Gland Right: Procedure Code Group Overview

0G54-ADRENAL-GLANDS-DESTRUCTION

ICD-10-PCS Code For Adrenal Glands Bilateral: Procedure Code Group Overview

0G56-CAROTID-BODY-LEFT-DESTRUCTION

ICD-10-PCS Code For Carotid Body Left: Procedure Code Group Overview

0G57-CAROTID-BODY-RIGHT-DESTRUCTION

ICD-10-PCS Code For Carotid Body, Right: Procedure Code Group Overview

0G58-CAROTID-BODIES-DESTRUCTION

ICD-10-PCS Code For Carotid Bodies, Bilateral: Procedure Code Group Overview

0G59-PARA-AORTIC-BODY-DESTRUCTION

ICD-10-PCS Code For Para-Aortic Body: Procedure Code Group Overview

0G5B-COCCYGEAL-GLOMUS-DESTRUCTION

ICD-10-PCS Code for Coccygeal Glomus: Procedure Code Group Overview

0G5C-GLOMUS-JUGULARE-DESTRUCTION

ICD-10-PCS Code For Glomus Jugulare: Procedure Code Group Overview

Showing 1–10 of 21

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Pineal Body: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Pineal Body: Procedure Code Group Overview policy alerts

Pineal Body Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Pineal Body: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Pineal Body: Procedure Code Group Overview policy alerts

Pineal Body Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system covers procedures to destroy the pineal body?

What is the clinical purpose of codes in the 0G51 group?

Which specific ICD-10-PCS codes represent laser interstitial thermal therapy approaches for pineal body destruction?

How does accurate coding in the 0G51 group affect inpatient reimbursement and case mix?

Which DRG categories may relate to procedures coded in the 0G51 pineal body destruction group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system covers procedures to destroy the pineal body?

What is the clinical purpose of codes in the 0G51 group?

Which specific ICD-10-PCS codes represent laser interstitial thermal therapy approaches for pineal body destruction?

How does accurate coding in the 0G51 group affect inpatient reimbursement and case mix?

Which DRG categories may relate to procedures coded in the 0G51 pineal body destruction group?

References