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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0G54 includes procedures performed to destroy all or a portion of adrenal gland tissue in the endocrine system. These ICD-10-PCS codes are used for inpatient documentation when a clinician intentionally eradicates adrenal tissue bilaterally for therapeutic management of endocrine or oncologic conditions. Accurate coding within the ICD-10-PCS 0G54 group is essential for proper inpatient reimbursement, as it captures the specific destructive procedure performed and supports clinical documentation accuracy.

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Adrenal Glands, Bilateral Destruction Procedure Overview

This procedure group includes destruction of all or a portion of both adrenal glands and targets the endocrine system. Procedures use energy, force, or destructive agents to eliminate adrenal tissue for therapeutic purposes. Accurate ICD-10-PCS coding ensures inpatient records reflect the specific destruction performed and supports appropriate reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
G	Body System	Endocrine System
5	Operation	Destruction
4	Body Part	Adrenal Glands, Bilateral

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

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Adrenal Glands, Bilateral 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
4	Body Part	Adrenal Glands, Bilateral

When to Use

Use a code from this group when the documented operation is destruction of bilateral adrenal glands rather than excision or resection. Select these codes when the medical record specifically indicates intentional eradication of adrenal tissue on both sides for therapeutic reasons.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0G540Z3	Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Open Approach
0G540ZZ	Destruction of Bilateral Adrenal Glands, Open Approach
0G543Z3	Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Approach
0G543ZZ	Destruction of Bilateral Adrenal Glands, Percutaneous Approach
0G544Z3	Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0G544ZZ	Destruction of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach

DRG Codes

5 rows

DRG Code	Description
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 middle-aged patient with refractory Cushing disease due to bilateral adrenal hyperplasia presents for planned inpatient management after endocrinology confirms biochemical hypercortisolism and imaging shows bilateral adrenal enlargement. The team elects to destroy adrenal cortical tissue bilaterally to control hormone excess when medical therapy failed or is contraindicated; the procedure is scheduled electively using an open surgical approach due to anatomical considerations. Typical codes: 0G540ZZ.
An elderly patient with metastatic bilateral adrenal cortical tumors causing pain and hormonal instability is admitted for symptom control and to reduce tumor burden; percutaneous image-guided thermal ablation is chosen to minimize invasiveness and facilitate recovery. Because the intent is destructive therapy of both adrenal glands using a percutaneous technique, a percutaneous approach code from the group is selected. Typical codes: 0G543ZZ, 0G543Z3.
A patient with recurrent hyperaldosteronism after prior adrenal-sparing procedures develops persistent bilateral adrenal nodularity and worsening hypertension; after multidisciplinary review, a percutaneous endoscopic destruction of residual bilateral adrenal tissue is performed during an inpatient admission to address the failed prior interventions. The procedure uses an endoscopic percutaneous approach to intentionally eradicate remaining adrenal tissue. Typical codes: 0G544ZZ, 0G544Z3

Related Codes

0G50-PITUITARY-GLAND-DESTRUCTION

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

0G51-PINEAL-BODY-DESTRUCTION

ICD-10-PCS Code For Pineal Body: 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

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
0G540Z3	Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Open Approach
0G540ZZ	Destruction of Bilateral Adrenal Glands, Open Approach
0G543Z3	Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Approach
0G543ZZ	Destruction of Bilateral Adrenal Glands, Percutaneous Approach
0G544Z3	Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0G544ZZ	Destruction of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach

DRG Codes

5 rows

DRG Code	Description
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 middle-aged patient with refractory Cushing disease due to bilateral adrenal hyperplasia presents for planned inpatient management after endocrinology confirms biochemical hypercortisolism and imaging shows bilateral adrenal enlargement. The team elects to destroy adrenal cortical tissue bilaterally to control hormone excess when medical therapy failed or is contraindicated; the procedure is scheduled electively using an open surgical approach due to anatomical considerations. Typical codes: 0G540ZZ.
An elderly patient with metastatic bilateral adrenal cortical tumors causing pain and hormonal instability is admitted for symptom control and to reduce tumor burden; percutaneous image-guided thermal ablation is chosen to minimize invasiveness and facilitate recovery. Because the intent is destructive therapy of both adrenal glands using a percutaneous technique, a percutaneous approach code from the group is selected. Typical codes: 0G543ZZ, 0G543Z3.
A patient with recurrent hyperaldosteronism after prior adrenal-sparing procedures develops persistent bilateral adrenal nodularity and worsening hypertension; after multidisciplinary review, a percutaneous endoscopic destruction of residual bilateral adrenal tissue is performed during an inpatient admission to address the failed prior interventions. The procedure uses an endoscopic percutaneous approach to intentionally eradicate remaining adrenal tissue. Typical codes: 0G544ZZ, 0G544Z3

Related Codes

0G50-PITUITARY-GLAND-DESTRUCTION

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

0G51-PINEAL-BODY-DESTRUCTION

ICD-10-PCS Code For Pineal Body: 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

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 Adrenal Glands Bilateral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Adrenal Glands Bilateral: Procedure Code Group Overview policy alerts

Adrenal Glands, Bilateral Destruction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Adrenal Glands Bilateral: Procedure Code Group Overview policy alerts

Adrenal Glands, Bilateral Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bilateral adrenal gland destruction procedures?

What operation and body system are represented by the 0G54 code group?

What specific codes exist within the 0G54 group for different approaches and techniques?

How does accurate coding in the 0G54 group affect inpatient reimbursement?

Which DRGs may be related to procedures coded from the 0G54 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bilateral adrenal gland destruction procedures?

What operation and body system are represented by the 0G54 code group?

What specific codes exist within the 0G54 group for different approaches and techniques?

How does accurate coding in the 0G54 group affect inpatient reimbursement?

Which DRGs may be related to procedures coded from the 0G54 group?

References