ICD-10-PCS Tabular Index · Section 0 · FY 2026 0D5

0D5 Destruction - Gastrointestinal System ICD-10-PCS

The 0D5 code range contains 198 ICD-10-PCS codes for Destruction procedures on the gastrointestinal system. 197 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
198
Procedure Codes
197
Billable Codes
0D5
Characters 1–3
0D
Parent Body System

Root Operation Definition

Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent.

ICD-10-PCS

Codes in the 0D5 Range 198 codes · 197 billable

198 of 198 shown
  • 0D5 Gastrointestinal System, DestructionNon-billable header
  • 0D510Z3 Destruction of Upper Esophagus using Laser Interstitial Thermal Therapy, Open Approach
  • 0D510ZZ Destruction of Upper Esophagus, Open Approach
  • 0D513Z3 Destruction of Upper Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D513ZZ Destruction of Upper Esophagus, Percutaneous Approach
  • 0D514Z3 Destruction of Upper Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D514ZZ Destruction of Upper Esophagus, Percutaneous Endoscopic Approach
  • 0D517ZZ Destruction of Upper Esophagus, Via Natural or Artificial Opening
  • 0D518ZZ Destruction of Upper Esophagus, Via Natural or Artificial Opening Endoscopic
  • 0D520Z3 Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Open Approach
  • 0D520ZZ Destruction of Middle Esophagus, Open Approach
  • 0D523Z3 Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D523ZZ Destruction of Middle Esophagus, Percutaneous Approach
  • 0D524Z3 Destruction of Middle Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D524ZZ Destruction of Middle Esophagus, Percutaneous Endoscopic Approach
  • 0D527ZZ Destruction of Middle Esophagus, Via Natural or Artificial Opening
  • 0D528ZZ Destruction of Middle Esophagus, Via Natural or Artificial Opening Endoscopic
  • 0D530Z3 Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Open Approach
  • 0D530ZZ Destruction of Lower Esophagus, Open Approach
  • 0D533Z3 Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D533ZZ Destruction of Lower Esophagus, Percutaneous Approach
  • 0D534Z3 Destruction of Lower Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D534ZZ Destruction of Lower Esophagus, Percutaneous Endoscopic Approach
  • 0D537ZZ Destruction of Lower Esophagus, Via Natural or Artificial Opening
  • 0D538ZZ Destruction of Lower Esophagus, Via Natural or Artificial Opening Endoscopic
  • 0D540Z3 Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Open Approach
  • 0D540ZZ Destruction of Esophagogastric Junction, Open Approach
  • 0D543Z3 Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D543ZZ Destruction of Esophagogastric Junction, Percutaneous Approach
  • 0D544Z3 Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D544ZZ Destruction of Esophagogastric Junction, Percutaneous Endoscopic Approach
  • 0D547ZZ Destruction of Esophagogastric Junction, Via Natural or Artificial Opening
  • 0D548ZZ Destruction of Esophagogastric Junction, Via Natural or Artificial Opening Endoscopic
  • 0D550Z3 Destruction of Esophagus using Laser Interstitial Thermal Therapy, Open Approach
  • 0D550ZZ Destruction of Esophagus, Open Approach
  • 0D553Z3 Destruction of Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D553ZZ Destruction of Esophagus, Percutaneous Approach
  • 0D554Z3 Destruction of Esophagus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D554ZZ Destruction of Esophagus, Percutaneous Endoscopic Approach
  • 0D557ZZ Destruction of Esophagus, Via Natural or Artificial Opening
  • 0D558ZZ Destruction of Esophagus, Via Natural or Artificial Opening Endoscopic
  • 0D560Z3 Destruction of Stomach using Laser Interstitial Thermal Therapy, Open Approach
  • 0D560ZZ Destruction of Stomach, Open Approach
  • 0D563Z3 Destruction of Stomach using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D563ZZ Destruction of Stomach, Percutaneous Approach
  • 0D564Z3 Destruction of Stomach using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D564ZZ Destruction of Stomach, Percutaneous Endoscopic Approach
  • 0D567ZZ Destruction of Stomach, Via Natural or Artificial Opening
  • 0D568ZZ Destruction of Stomach, Via Natural or Artificial Opening Endoscopic
  • 0D570Z3 Destruction of Stomach, Pylorus using Laser Interstitial Thermal Therapy, Open Approach
  • 0D570ZZ Destruction of Stomach, Pylorus, Open Approach
  • 0D573Z3 Destruction of Stomach, Pylorus using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D573ZZ Destruction of Stomach, Pylorus, Percutaneous Approach
  • 0D574Z3 Destruction of Stomach, Pylorus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D574ZZ Destruction of Stomach, Pylorus, Percutaneous Endoscopic Approach
  • 0D577ZZ Destruction of Stomach, Pylorus, Via Natural or Artificial Opening
  • 0D578ZZ Destruction of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic
  • 0D580Z3 Destruction of Small Intestine using Laser Interstitial Thermal Therapy, Open Approach
  • 0D580ZZ Destruction of Small Intestine, Open Approach
  • 0D583Z3 Destruction of Small Intestine using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D583ZZ Destruction of Small Intestine, Percutaneous Approach
  • 0D584Z3 Destruction of Small Intestine using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D584ZZ Destruction of Small Intestine, Percutaneous Endoscopic Approach
  • 0D587ZZ Destruction of Small Intestine, Via Natural or Artificial Opening
  • 0D588ZZ Destruction of Small Intestine, Via Natural or Artificial Opening Endoscopic
  • 0D590Z3 Destruction of Duodenum using Laser Interstitial Thermal Therapy, Open Approach
  • 0D590ZZ Destruction of Duodenum, Open Approach
  • 0D593Z3 Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D593ZZ Destruction of Duodenum, Percutaneous Approach
  • 0D594Z3 Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D594ZZ Destruction of Duodenum, Percutaneous Endoscopic Approach
  • 0D597ZZ Destruction of Duodenum, Via Natural or Artificial Opening
  • 0D598ZZ Destruction of Duodenum, Via Natural or Artificial Opening Endoscopic
  • 0D5A0Z3 Destruction of Jejunum using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5A0ZZ Destruction of Jejunum, Open Approach
  • 0D5A3Z3 Destruction of Jejunum using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5A3ZZ Destruction of Jejunum, Percutaneous Approach
  • 0D5A4Z3 Destruction of Jejunum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5A4ZZ Destruction of Jejunum, Percutaneous Endoscopic Approach
  • 0D5A7ZZ Destruction of Jejunum, Via Natural or Artificial Opening
  • 0D5A8ZZ Destruction of Jejunum, Via Natural or Artificial Opening Endoscopic
  • 0D5B0Z3 Destruction of Ileum using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5B0ZZ Destruction of Ileum, Open Approach
  • 0D5B3Z3 Destruction of Ileum using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5B3ZZ Destruction of Ileum, Percutaneous Approach
  • 0D5B4Z3 Destruction of Ileum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5B4ZZ Destruction of Ileum, Percutaneous Endoscopic Approach
  • 0D5B7ZZ Destruction of Ileum, Via Natural or Artificial Opening
  • 0D5B8ZZ Destruction of Ileum, Via Natural or Artificial Opening Endoscopic
  • 0D5C0Z3 Destruction of Ileocecal Valve using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5C0ZZ Destruction of Ileocecal Valve, Open Approach
  • 0D5C3Z3 Destruction of Ileocecal Valve using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5C3ZZ Destruction of Ileocecal Valve, Percutaneous Approach
  • 0D5C4Z3 Destruction of Ileocecal Valve using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5C4ZZ Destruction of Ileocecal Valve, Percutaneous Endoscopic Approach
  • 0D5C7ZZ Destruction of Ileocecal Valve, Via Natural or Artificial Opening
  • 0D5C8ZZ Destruction of Ileocecal Valve, Via Natural or Artificial Opening Endoscopic
  • 0D5E0Z3 Destruction of Large Intestine using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5E0ZZ Destruction of Large Intestine, Open Approach
  • 0D5E3Z3 Destruction of Large Intestine using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5E3ZZ Destruction of Large Intestine, Percutaneous Approach
  • 0D5E4Z3 Destruction of Large Intestine using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5E4ZZ Destruction of Large Intestine, Percutaneous Endoscopic Approach
  • 0D5E7ZZ Destruction of Large Intestine, Via Natural or Artificial Opening
  • 0D5E8ZZ Destruction of Large Intestine, Via Natural or Artificial Opening Endoscopic
  • 0D5F0Z3 Destruction of Right Large Intestine using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5F0ZZ Destruction of Right Large Intestine, Open Approach
  • 0D5F3Z3 Destruction of Right Large Intestine using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5F3ZZ Destruction of Right Large Intestine, Percutaneous Approach
  • 0D5F4Z3 Destruction of Right Large Intestine using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5F4ZZ Destruction of Right Large Intestine, Percutaneous Endoscopic Approach
  • 0D5F7ZZ Destruction of Right Large Intestine, Via Natural or Artificial Opening
  • 0D5F8ZZ Destruction of Right Large Intestine, Via Natural or Artificial Opening Endoscopic
  • 0D5G0Z3 Destruction of Left Large Intestine using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5G0ZZ Destruction of Left Large Intestine, Open Approach
  • 0D5G3Z3 Destruction of Left Large Intestine using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5G3ZZ Destruction of Left Large Intestine, Percutaneous Approach
  • 0D5G4Z3 Destruction of Left Large Intestine using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5G4ZZ Destruction of Left Large Intestine, Percutaneous Endoscopic Approach
  • 0D5G7ZZ Destruction of Left Large Intestine, Via Natural or Artificial Opening
  • 0D5G8ZZ Destruction of Left Large Intestine, Via Natural or Artificial Opening Endoscopic
  • 0D5H0Z3 Destruction of Cecum using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5H0ZZ Destruction of Cecum, Open Approach
  • 0D5H3Z3 Destruction of Cecum using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5H3ZZ Destruction of Cecum, Percutaneous Approach
  • 0D5H4Z3 Destruction of Cecum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5H4ZZ Destruction of Cecum, Percutaneous Endoscopic Approach
  • 0D5H7ZZ Destruction of Cecum, Via Natural or Artificial Opening
  • 0D5H8ZZ Destruction of Cecum, Via Natural or Artificial Opening Endoscopic
  • 0D5J0Z3 Destruction of Appendix using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5J0ZZ Destruction of Appendix, Open Approach
  • 0D5J3Z3 Destruction of Appendix using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5J3ZZ Destruction of Appendix, Percutaneous Approach
  • 0D5J4Z3 Destruction of Appendix using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5J4ZZ Destruction of Appendix, Percutaneous Endoscopic Approach
  • 0D5J7ZZ Destruction of Appendix, Via Natural or Artificial Opening
  • 0D5J8ZZ Destruction of Appendix, Via Natural or Artificial Opening Endoscopic
  • 0D5K0Z3 Destruction of Ascending Colon using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5K0ZZ Destruction of Ascending Colon, Open Approach
  • 0D5K3Z3 Destruction of Ascending Colon using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5K3ZZ Destruction of Ascending Colon, Percutaneous Approach
  • 0D5K4Z3 Destruction of Ascending Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5K4ZZ Destruction of Ascending Colon, Percutaneous Endoscopic Approach
  • 0D5K7ZZ Destruction of Ascending Colon, Via Natural or Artificial Opening
  • 0D5K8ZZ Destruction of Ascending Colon, Via Natural or Artificial Opening Endoscopic
  • 0D5L0Z3 Destruction of Transverse Colon using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5L0ZZ Destruction of Transverse Colon, Open Approach
  • 0D5L3Z3 Destruction of Transverse Colon using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5L3ZZ Destruction of Transverse Colon, Percutaneous Approach
  • 0D5L4Z3 Destruction of Transverse Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5L4ZZ Destruction of Transverse Colon, Percutaneous Endoscopic Approach
  • 0D5L7ZZ Destruction of Transverse Colon, Via Natural or Artificial Opening
  • 0D5L8ZZ Destruction of Transverse Colon, Via Natural or Artificial Opening Endoscopic
  • 0D5M0Z3 Destruction of Descending Colon using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5M0ZZ Destruction of Descending Colon, Open Approach
  • 0D5M3Z3 Destruction of Descending Colon using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5M3ZZ Destruction of Descending Colon, Percutaneous Approach
  • 0D5M4Z3 Destruction of Descending Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5M4ZZ Destruction of Descending Colon, Percutaneous Endoscopic Approach
  • 0D5M7ZZ Destruction of Descending Colon, Via Natural or Artificial Opening
  • 0D5M8ZZ Destruction of Descending Colon, Via Natural or Artificial Opening Endoscopic
  • 0D5N0Z3 Destruction of Sigmoid Colon using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5N0ZZ Destruction of Sigmoid Colon, Open Approach
  • 0D5N3Z3 Destruction of Sigmoid Colon using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5N3ZZ Destruction of Sigmoid Colon, Percutaneous Approach
  • 0D5N4Z3 Destruction of Sigmoid Colon using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5N4ZZ Destruction of Sigmoid Colon, Percutaneous Endoscopic Approach
  • 0D5N7ZZ Destruction of Sigmoid Colon, Via Natural or Artificial Opening
  • 0D5N8ZZ Destruction of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic
  • 0D5P0Z3 Destruction of Rectum using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5P0ZZ Destruction of Rectum, Open Approach
  • 0D5P3Z3 Destruction of Rectum using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5P3ZZ Destruction of Rectum, Percutaneous Approach
  • 0D5P4Z3 Destruction of Rectum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5P4ZZ Destruction of Rectum, Percutaneous Endoscopic Approach
  • 0D5P7ZZ Destruction of Rectum, Via Natural or Artificial Opening
  • 0D5P8ZZ Destruction of Rectum, Via Natural or Artificial Opening Endoscopic
  • 0D5Q0Z3 Destruction of Anus using Laser Interstitial Thermal Therapy, Open Approach
  • 0D5Q0ZZ Destruction of Anus, Open Approach
  • 0D5Q3Z3 Destruction of Anus using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0D5Q3ZZ Destruction of Anus, Percutaneous Approach
  • 0D5Q4Z3 Destruction of Anus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0D5Q4ZZ Destruction of Anus, Percutaneous Endoscopic Approach
  • 0D5Q7ZZ Destruction of Anus, Via Natural or Artificial Opening
  • 0D5Q8ZZ Destruction of Anus, Via Natural or Artificial Opening Endoscopic
  • 0D5QXZZ Destruction of Anus, External Approach
  • 0D5R0ZZ Destruction of Anal Sphincter, Open Approach
  • 0D5R3ZZ Destruction of Anal Sphincter, Percutaneous Approach
  • 0D5R4ZZ Destruction of Anal Sphincter, Percutaneous Endoscopic Approach
  • 0D5U0ZZ Destruction of Omentum, Open Approach
  • 0D5U3ZZ Destruction of Omentum, Percutaneous Approach
  • 0D5U4ZZ Destruction of Omentum, Percutaneous Endoscopic Approach
  • 0D5V0ZZ Destruction of Mesentery, Open Approach
  • 0D5V3ZZ Destruction of Mesentery, Percutaneous Approach
  • 0D5V4ZZ Destruction of Mesentery, Percutaneous Endoscopic Approach
  • 0D5W0ZZ Destruction of Peritoneum, Open Approach
  • 0D5W3ZZ Destruction of Peritoneum, Percutaneous Approach
  • 0D5W4ZZ Destruction of Peritoneum, Percutaneous Endoscopic Approach

About the 0D5 Code Range

The ICD-10-PCS root operation Destruction (code category 0D5) involves the complete eradication of targeted tissue within the Gastrointestinal System. This procedure is performed to remove abnormal or diseased tissue by destroying it, rather than excising or removing it physically.

This Medical and Surgical operation covers a wide range of anatomical sites, including the esophagus (upper, middle, lower), stomach, small intestine, large intestine, and related structures such as the jejunum, ileum, and rectum. Codes specify various approaches like Open, Percutaneous, Percutaneous Endoscopic, and Via Natural or Artificial Opening, as well as the use of advanced technology such as Laser Interstitial Thermal Therapy. For example, 0D510Z3 signifies destruction of the upper esophagus via open approach using laser therapy, while 0D5P8ZZ indicates destruction of the rectum via a natural or artificial opening endoscopic approach. These detailed codes enable precise documentation of tissue destruction procedures across the gastrointestinal tract, reflecting different target sites and methods employed.

Questions About This Page

How many billable codes are in the 0D5 range?

Of the 198 codes in this range, 197 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.

What does the 0D5 range classify?

The range classifies Destruction procedures, physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent, performed on the gastrointestinal system. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.

Related References

All ICD-10-PCS SectionsAll of Medical and Surgical (0)All of Body System 0DICD-10-PCS Code LookupICD-10-CM Codes ListMS-DRG ReferenceMedicare Code Edits

Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.