ICD-10-PCS 2027 procedure code
0D583Z3Destruction of Small Intestine using Laser Interstitial Thermal Therapy, Percutaneous Approach
Short description: Destruction of Small Intestine using LITT, Perc Approach
Code last changed in FY2023 (effective October 1, 2022). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0D583Z3
0D583Z3 is the ICD-10-PCS code for a destruction procedure on the small intestine using a percutaneous approach (qualifier: laser interstitial thermal therapy). In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.
For a different body part, codes include 0D513Z3 (esophagus, upper), 0D523Z3 (esophagus, middle), 0D533Z3 (esophagus, lower), 0D543Z3 (esophagogastric junction), 0D553Z3 (esophagus), 0D563Z3 (stomach) and 16 more.
The same procedure with a different approach is coded 0D580Z3 (open) and 0D584Z3 (percutaneous endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 344 (Minor Small and Large Bowel Procedures with MCC), DRG 345 (Minor Small and Large Bowel Procedures with CC), DRG 346 (Minor Small and Large Bowel Procedures without CC/MCC), DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Minor Small and Large Bowel Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures”.
It was added in FY2023, effective October 1, 2022.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- DGastrointestinal System
- 3. Operation
- 5Destruction
Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
None of the body part is physically taken out
Includes: Fulguration of rectal polyp, cautery of skin lesion
- 4. Body Part
- 8Small Intestine
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- 3Laser Interstitial Thermal Therapy
Other versions of this procedure
Different body part
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 06 · Diseases and Disorders of the Digestive System · Minor Small and Large Bowel Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2023 (effective 10/1/2022): Added
- No changes since FY2023.
Common questions about 0D583Z3
Is 0D583Z3 a valid ICD-10-PCS code for 2027?
- Yes. 0D583Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0D583Z3 an O.R. procedure?
- Yes. 0D583Z3 is an O.R. procedure in MS-DRG v44.0.
What DRG does 0D583Z3 group to?
- Depending on the principal diagnosis, 0D583Z3 can group to MS-DRG 344, MS-DRG 345, MS-DRG 346, MS-DRG 820, MS-DRG 821 and MS-DRG 822.