0D593ZZDestruction of Duodenum, Percutaneous Approach
- Billable / Specific Code
0D593ZZ is a billable ICD-10-PCS procedure code for Destruction of Duodenum, 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 | Z | No Qualifier |
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 0D593ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0D593ZZ
Is 0D593ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Duodenum, Percutaneous Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0D593ZZ 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 Z is the Qualifier (No Qualifier).
What MS-DRG does 0D593ZZ group to?
On an inpatient stay, Destruction of Duodenum, 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.
What is the ICD-9-PCS equivalent of 0D593ZZ?
Under the General Equivalence Mappings, Destruction of Duodenum, Percutaneous Approach crosswalks to ICD-9-PCS 45.32 (Other destruction of lesion of duodenum). The mapping is approximate, so confirm it fits the documentation.
