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ICD-10-PCS 2027 procedure code

0D587ZZDestruction of Small Intestine, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Destruction of Small Intestine, Via Opening

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0D587ZZ

0D587ZZ is the ICD-10-PCS code for a destruction procedure on the small intestine using a via natural or artificial opening approach. 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.

In plain terms, this corresponds to other destruction of lesion of small intestine, except duodenum, the ICD-9-CM procedure title it maps to (45.34).

For a different body part, codes include 0D517ZZ (esophagus, upper), 0D527ZZ (esophagus, middle), 0D537ZZ (esophagus, lower), 0D547ZZ (esophagogastric junction), 0D557ZZ (esophagus), 0D567ZZ (stomach) and 16 more.

The same procedure with a different approach is coded 0D580ZZ (open), 0D583ZZ (percutaneous), 0D584ZZ (percutaneous endoscopic) and 0D588ZZ (via natural or artificial opening 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 has been valid since ICD-10-PCS took effect on October 1, 2015.

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
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 45.34Other destruction of lesion of small intestine, except duodenumapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0D587ZZ

Is 0D587ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D587ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D587ZZ an O.R. procedure?

Yes. 0D587ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D587ZZ group to?

Depending on the principal diagnosis, 0D587ZZ can group to MS-DRG 344, MS-DRG 345, MS-DRG 346, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

What is the ICD-9 procedure code for 0D587ZZ?

The CMS GEMs map 0D587ZZ to ICD-9-CM 45.34 (Other destruction of lesion of small intestine, except duodenum).