0D593Z3Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Approach
- Billable / Specific Code
0D593Z3 is a billable ICD-10-PCS procedure code for Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 12 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under GI system endoscopic therapeutic procedures.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | D | Gastrointestinal System |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | 9 | Duodenum |
| 5 | Approach | 3 | Percutaneous |
| 6 | Device | Z | No Device |
| 7 | Qualifier | 3 | Laser Interstitial Thermal Therapy |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code destruction of the duodenum, open the FY 2027 ICD-10-PCS Alphabetic Index at Destruction, then the subterm Duodenum. The index leads to table 0D5, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0D593Z3.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
- DDY2KZZ — Laser Interstitial Thermal Therapy of Duodenum
Similar Procedure Codes
Questions About 0D593Z3
Is 0D593Z3 a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0D593Z3 mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character D is the Body System (Gastrointestinal System); the 3rd character 5 is the Operation (Destruction); the 4th character 9 is the BodyPart (Duodenum); the 5th character 3 is the Approach (Percutaneous); the 6th character Z is the Device (No Device); the 7th character 3 is the Qualifier (Laser Interstitial Thermal Therapy).
What MS-DRG does 0D593Z3 group to?
On an inpatient stay, Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Approach maps to MS-DRGs 326, 327, 328, 423, 424, 425, 820, 821, 822, 826, 827, 828, with relative weights from 1.1267 to 6.2454. The MS-DRG sets the fixed Medicare payment for the stay.
