ICD-10-PCS 2027 procedure code
0D593Z3Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Approach
Short description: Destruction of Duodenum 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 0D593Z3
0D593Z3 is the ICD-10-PCS code for a destruction procedure on the duodenum 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 0D590Z3 (open) and 0D594Z3 (percutaneous endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC), DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), DRG 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), DRG 424 (Other Hepatobiliary or Pancreas O.R. Procedures with CC) and DRG 425 (Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC), under the surgical categories “Stomach, Esophageal and Duodenal Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 1 more.
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
- 9Duodenum
- 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 · Stomach, Esophageal and Duodenal Procedures
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Other Hepatobiliary or Pancreas O.R. 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 0D593Z3
Is 0D593Z3 a valid ICD-10-PCS code for 2027?
- Yes. 0D593Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0D593Z3 an O.R. procedure?
- Yes. 0D593Z3 is an O.R. procedure in MS-DRG v44.0.
What DRG does 0D593Z3 group to?
- Depending on the principal diagnosis, 0D593Z3 can group to MS-DRG 326, MS-DRG 327, MS-DRG 328, MS-DRG 423, MS-DRG 424 and MS-DRG 425.