ICD-10-PCS Code For Mediastinum: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group DB26 includes procedures performed to stereotactically deliver focused radiation to structures in the mediastinum. These ICD-10-PCS codes are used for inpatient documentation when stereotactic radiosurgery is performed on mediastinal targets requiring high-precision radiation delivery. Accurate coding within the ICD-10-PCS DB26 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Mediastinum Stereotactic Radiosurgery Procedure Overview

This procedure group covers stereotactic radiosurgery targeting the mediastinum within the respiratory system. Procedures involve delivering highly focused, high-dose radiation beams to mediastinal structures using precise targeting and immobilization techniques. Accurate ICD-10-PCS coding is important to reflect the specific operation and body part for inpatient documentation and to support appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
B	Body System	Respiratory System
2	Operation	Stereotactic Radiosurgery
6	Body Part	Mediastinum

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ICD-10-PCS Code For Mediastinum: Procedure Code Group Overview

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Mediastinum Stereotactic Radiosurgery Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
B	Body System	Respiratory System
2	Operation	Stereotactic Radiosurgery
6	Body Part	Mediastinum

When to Use

Use a code from this group when stereotactic radiosurgery is performed on mediastinal structures during an inpatient encounter. Select the specific ICD-10-PCS code that reflects the stereotactic radiation procedure and the mediastinum as the targeted body part.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
DB26DZZ	Stereotactic Other Photon Radiosurgery of Mediastinum
DB26HZZ	Stereotactic Particulate Radiosurgery of Mediastinum
DB26JZZ	Stereotactic Gamma Beam Radiosurgery of Mediastinum

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a solitary metastatic lesion in the anterior mediastinum causing progressive chest pain and encroachment on adjacent structures is admitted for focused high-dose radiation. The multidisciplinary team recommends a single-session, highly conformal photon stereotactic radiosurgery to achieve local control while minimizing dose to heart and lungs. The procedure is performed inpatient due to comorbidities and need for close postprocedure monitoring. Typical codes: DB26DZZ
A middle-aged patient presents emergently with rapid enlargement of a mediastinal vascular malformation resulting in acute airway compression and severe dyspnea; after airway stabilization and multidisciplinary review, urgent stereotactic particulate radiosurgery is performed to reduce lesion bulk and control bleeding risk. The targeted particulate approach is chosen for its radiobiologic effect on the vascular lesion, with inpatient stay for respiratory monitoring and symptom improvement. Typical codes: DB26HZZ
A patient previously treated with conventional fractionated mediastinal radiation develops a recurrent small, well-defined mediastinal tumor within the prior field; after evaluation, a focused gamma beam stereotactic radiosurgery session is planned to ablate the recurrence while limiting additional normal tissue exposure. The inpatient setting is used for close observation because of prior radiation history and potential for acute tissue reaction. Typical codes: DB26JZZ

ICD-10-PCS Code For Trachea: Procedure Code Group Overview

DB21-BRONCHUS-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Bronchus: Procedure Code Group Overview

DB22-LUNG-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Lung: Procedure Code Group Overview

DB25-PLEURA-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Pleura: Procedure Code Group Overview

DB27-CHEST-WALL-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Chest Wall: Procedure Code Group Overview

DB28-DIAPHRAGM-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Diaphragm: Procedure Code Group Overview

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

3 rows

ICD-10-PCS Code	Description
DB26DZZ	Stereotactic Other Photon Radiosurgery of Mediastinum
DB26HZZ	Stereotactic Particulate Radiosurgery of Mediastinum
DB26JZZ	Stereotactic Gamma Beam Radiosurgery of Mediastinum

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a solitary metastatic lesion in the anterior mediastinum causing progressive chest pain and encroachment on adjacent structures is admitted for focused high-dose radiation. The multidisciplinary team recommends a single-session, highly conformal photon stereotactic radiosurgery to achieve local control while minimizing dose to heart and lungs. The procedure is performed inpatient due to comorbidities and need for close postprocedure monitoring. Typical codes: DB26DZZ
A middle-aged patient presents emergently with rapid enlargement of a mediastinal vascular malformation resulting in acute airway compression and severe dyspnea; after airway stabilization and multidisciplinary review, urgent stereotactic particulate radiosurgery is performed to reduce lesion bulk and control bleeding risk. The targeted particulate approach is chosen for its radiobiologic effect on the vascular lesion, with inpatient stay for respiratory monitoring and symptom improvement. Typical codes: DB26HZZ
A patient previously treated with conventional fractionated mediastinal radiation develops a recurrent small, well-defined mediastinal tumor within the prior field; after evaluation, a focused gamma beam stereotactic radiosurgery session is planned to ablate the recurrence while limiting additional normal tissue exposure. The inpatient setting is used for close observation because of prior radiation history and potential for acute tissue reaction. Typical codes: DB26JZZ

ICD-10-PCS Code For Trachea: Procedure Code Group Overview

DB21-BRONCHUS-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Bronchus: Procedure Code Group Overview

DB22-LUNG-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Lung: Procedure Code Group Overview

DB25-PLEURA-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Pleura: Procedure Code Group Overview

DB27-CHEST-WALL-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Chest Wall: Procedure Code Group Overview

DB28-DIAPHRAGM-STEREOTACTIC-RADIOSURGERY

ICD-10-PCS Code For Diaphragm: Procedure Code Group Overview

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.

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ICD-10-PCS Code For Mediastinum: Procedure Code Group Overview

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Mediastinum Stereotactic Radiosurgery Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Mediastinum: Procedure Code Group Overview

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Mediastinum Stereotactic Radiosurgery Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Mediastinum: Procedure Code Group Overview

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

Mediastinum Stereotactic Radiosurgery Procedure Overview

Code Attributes

ICD-10-PCS Code For Mediastinum: Procedure Code Group Overview

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

Mediastinum Stereotactic Radiosurgery Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the DB26 procedure group?

What is the section, body system, operation, and body part attributes for DB26 codes?

When should DB26 codes be used for inpatient documentation?

How do DB26 codes relate to reimbursement and DRG assignment?

What types of procedures are described by the Mediastinum stereotactic radiosurgery overview?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the DB26 procedure group?

What is the section, body system, operation, and body part attributes for DB26 codes?

When should DB26 codes be used for inpatient documentation?

How do DB26 codes relate to reimbursement and DRG assignment?

What types of procedures are described by the Mediastinum stereotactic radiosurgery overview?

References