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 0GT4 includes procedures performed to resect endocrine system structures in the adrenal glands, bilateral. These ICD-10-PCS codes are used for inpatient documentation when bilateral adrenal gland tissue is surgically removed without replacement. Accurate coding within the ICD-10-PCS 0GT4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Adrenal Glands Resection Procedure Overview

This procedure group includes bilateral removal of adrenal gland tissue and pertains to the endocrine system. These procedures involve resection of all or part of both adrenal glands without replacement. Accurate ICD-10-PCS coding is important for reflecting the operative service performed and for correct inpatient reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
G	Body System	Endocrine System
T	Operation	Resection
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 Resection Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when the operative note documents resection of both adrenal glands without replacement during an inpatient stay. Do not use these codes for procedures that leave or replace adrenal tissue or for unilateral adrenal procedures.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0GT40ZZ	Resection of Bilateral Adrenal Glands, Open Approach
0GT44ZZ	Resection of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach

DRG Codes

5 rows

DRG Code	Description
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
614	Adrenal and Pituitary Procedures with CC/MCC
615	Adrenal and Pituitary Procedures without CC/MCC

Typical Clinical Scenarios

A patient presents with bilateral adrenal hyperplasia causing refractory Cushing syndrome with severe metabolic derangements (hypokalemia, hypertension, hyperglycemia) despite medical therapy; after endocrine evaluation and failed medical control, inpatient bilateral adrenal resection is planned to rapidly remove cortisol-producing tissue and stabilize the patient. Typical codes: 0GT40ZZ, 0GT44ZZ
An adult with incidentally discovered large bilateral adrenal cortical tumors on imaging (one >4 cm or concerning for malignancy) is admitted for elective surgical removal to obtain definitive pathology and prevent local invasion or metastatic spread; the inpatient stay is for preoperative optimization and postoperative monitoring following bilateral adrenal gland resection. Typical codes: 0GT40ZZ, 0GT44ZZ
A patient with bilateral adrenal hemorrhage from anticoagulation develops adrenal insufficiency and ongoing source control concerns; the clinical team proceeds with bilateral adrenal tissue resection when nonoperative management is unsuccessful, necessitating inpatient surgical intervention to remove damaged adrenal tissue. Typical codes: 0GT40ZZ, 0GT44ZZ

Related Codes

0GT0-PITUITARY-GLAND-RESECTION

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

0GT1-PINEAL-BODY-RESECTION

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

0GT2-ADRENAL-GLAND-LEFT-RESECTION

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

0GT3-ADRENAL-GLAND-RIGHT-RESECTION

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

0GT6-CAROTID-BODY-LEFT-RESECTION

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

0GT7-CAROTID-BODY-RIGHT-RESECTION

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

0GT8-CAROTID-BODIES-RESECTION

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

0GT9-PARA-AORTIC-RESECTION

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

0GTB-COCCYGEAL-GLOMUS-RESECTION

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

0GTC-GLOMUS-JUGULARE-RESECTION

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

Showing 1–10 of 22

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

2 rows

ICD-10-PCS Code	Description
0GT40ZZ	Resection of Bilateral Adrenal Glands, Open Approach
0GT44ZZ	Resection of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach

DRG Codes

5 rows

DRG Code	Description
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
614	Adrenal and Pituitary Procedures with CC/MCC
615	Adrenal and Pituitary Procedures without CC/MCC

Typical Clinical Scenarios

A patient presents with bilateral adrenal hyperplasia causing refractory Cushing syndrome with severe metabolic derangements (hypokalemia, hypertension, hyperglycemia) despite medical therapy; after endocrine evaluation and failed medical control, inpatient bilateral adrenal resection is planned to rapidly remove cortisol-producing tissue and stabilize the patient. Typical codes: 0GT40ZZ, 0GT44ZZ
An adult with incidentally discovered large bilateral adrenal cortical tumors on imaging (one >4 cm or concerning for malignancy) is admitted for elective surgical removal to obtain definitive pathology and prevent local invasion or metastatic spread; the inpatient stay is for preoperative optimization and postoperative monitoring following bilateral adrenal gland resection. Typical codes: 0GT40ZZ, 0GT44ZZ
A patient with bilateral adrenal hemorrhage from anticoagulation develops adrenal insufficiency and ongoing source control concerns; the clinical team proceeds with bilateral adrenal tissue resection when nonoperative management is unsuccessful, necessitating inpatient surgical intervention to remove damaged adrenal tissue. Typical codes: 0GT40ZZ, 0GT44ZZ

Related Codes

0GT0-PITUITARY-GLAND-RESECTION

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

0GT1-PINEAL-BODY-RESECTION

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

0GT2-ADRENAL-GLAND-LEFT-RESECTION

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

0GT3-ADRENAL-GLAND-RIGHT-RESECTION

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

0GT6-CAROTID-BODY-LEFT-RESECTION

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

0GT7-CAROTID-BODY-RIGHT-RESECTION

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

0GT8-CAROTID-BODIES-RESECTION

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

0GT9-PARA-AORTIC-RESECTION

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

0GTB-COCCYGEAL-GLOMUS-RESECTION

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

0GTC-GLOMUS-JUGULARE-RESECTION

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

Showing 1–10 of 22

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 Resection 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 Resection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code(s) represent resection of bilateral adrenal glands?

What body system and operation are captured by the 0GT4 code group?

How should documentation support coding when assigning a 0GT4 code?

How does accurate coding in the 0GT4 group affect inpatient reimbursement?

Which DRGs are related to procedures in the 0GT4 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code(s) represent resection of bilateral adrenal glands?

What body system and operation are captured by the 0GT4 code group?

How should documentation support coding when assigning a 0GT4 code?

How does accurate coding in the 0GT4 group affect inpatient reimbursement?

Which DRGs are related to procedures in the 0GT4 group?

References