ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D53 includes procedures performed to destroy tissue in the lower esophagus. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a direct destructive procedure on all or part of the lower esophagus. Accurate coding within the ICD-10-PCS 0D53 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Esophagus, Lower Destruction Procedure Overview

This procedure group includes destruction procedures targeting the lower esophagus within the gastrointestinal system. These procedures use energy, force, or a destructive agent to eradicate all or a portion of the lower esophageal tissue. Accurate ICD-10-PCS coding of these destruction procedures is important for inpatient reimbursement because it documents the specific operation and anatomic site, which affects case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
5	Operation	Destruction
3	Body Part	Esophagus, Lower

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ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

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Esophagus, Lower Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
5	Operation	Destruction
3	Body Part	Esophagus, Lower

When to Use

Use a code from this group when a documented operative procedure directly destroys tissue in the lower esophagus. These codes apply when the clinical record specifies destruction as the root operation and identifies the lower esophagus as the targeted body part.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
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

DRG Codes

12 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a history of Barrett esophagus presents with progressive dysphagia and upper GI bleeding. Endoscopic evaluation identifies a localized malignant-appearing lesion confined to the lower esophagus that is not amenable to endoscopic mucosal resection; the team performs an endoscopic destruction procedure to ablate the tumor tissue of the lower esophagus. The procedure is documented as destruction of the lower esophageal tissue via a percutaneous endoscopic approach to control bleeding and reduce tumor burden. Typical codes: 0D534Z3, 0D534ZZ
A middle-aged patient presents emergently with caustic ingestion resulting in circumferential necrosis and full-thickness injury isolated to the lower esophagus with ongoing sepsis risk. After stabilization, the surgical team performs a direct destructive procedure on nonviable lower esophageal tissue to remove devitalized tissue and reduce infectious nidus. The chart documents destruction of the lower esophagus via an open surgical approach due to extensive injury and inability to access the area endoscopically. Typical codes: 0D530ZZ
A patient with a prior endoscopic fundoplication develops recurrent refractory lower esophageal stricture with focal hypertrophic scar tissue after multiple dilations. Under controlled inpatient conditions, the therapeutic plan includes targeted destruction of the scar tissue in the lower esophagus using laser interstitial thermal therapy to improve lumen patency and facilitate later dilation. The operative note documents percutaneous access and laser destruction of the scarred lower esophageal segment. Typical codes: 0D533Z3, 0D533ZZ

Related Codes

0D51-ESOPHAGUS-UPPER-DESTRUCTION

ICD-10-PCS Code For Esophagus Upper: Procedure Code Group Overview

0D52-ESOPHAGUS-MIDDLE-DESTRUCTION

ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

0D54-ESOPHAGOGASTRIC-JUNCTION-DESTRUCTION

ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

0D55-ESOPHAGUS-DESTRUCTION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D56-STOMACH-DESTRUCTION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D57-STOMACH-PYLORUS-DESTRUCTION

ICD-10-PCS Code For Stomach, Pylorus: Procedure Code Group Overview

0D58-SMALL-INTESTINE-DESTRUCTION

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0D59-DUODENUM-DESTRUCTION

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D5A-JEJUNUM-DESTRUCTION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D5B-ILEUM-DESTRUCTION

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

Showing 1–10 of 26

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
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

DRG Codes

12 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a history of Barrett esophagus presents with progressive dysphagia and upper GI bleeding. Endoscopic evaluation identifies a localized malignant-appearing lesion confined to the lower esophagus that is not amenable to endoscopic mucosal resection; the team performs an endoscopic destruction procedure to ablate the tumor tissue of the lower esophagus. The procedure is documented as destruction of the lower esophageal tissue via a percutaneous endoscopic approach to control bleeding and reduce tumor burden. Typical codes: 0D534Z3, 0D534ZZ
A middle-aged patient presents emergently with caustic ingestion resulting in circumferential necrosis and full-thickness injury isolated to the lower esophagus with ongoing sepsis risk. After stabilization, the surgical team performs a direct destructive procedure on nonviable lower esophageal tissue to remove devitalized tissue and reduce infectious nidus. The chart documents destruction of the lower esophagus via an open surgical approach due to extensive injury and inability to access the area endoscopically. Typical codes: 0D530ZZ
A patient with a prior endoscopic fundoplication develops recurrent refractory lower esophageal stricture with focal hypertrophic scar tissue after multiple dilations. Under controlled inpatient conditions, the therapeutic plan includes targeted destruction of the scar tissue in the lower esophagus using laser interstitial thermal therapy to improve lumen patency and facilitate later dilation. The operative note documents percutaneous access and laser destruction of the scarred lower esophageal segment. Typical codes: 0D533Z3, 0D533ZZ

Related Codes

0D51-ESOPHAGUS-UPPER-DESTRUCTION

ICD-10-PCS Code For Esophagus Upper: Procedure Code Group Overview

0D52-ESOPHAGUS-MIDDLE-DESTRUCTION

ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

0D54-ESOPHAGOGASTRIC-JUNCTION-DESTRUCTION

ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

0D55-ESOPHAGUS-DESTRUCTION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D56-STOMACH-DESTRUCTION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D57-STOMACH-PYLORUS-DESTRUCTION

ICD-10-PCS Code For Stomach, Pylorus: Procedure Code Group Overview

0D58-SMALL-INTESTINE-DESTRUCTION

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0D59-DUODENUM-DESTRUCTION

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D5A-JEJUNUM-DESTRUCTION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D5B-ILEUM-DESTRUCTION

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

Showing 1–10 of 26

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview policy alerts

Esophagus, Lower Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview policy alerts

Esophagus, Lower Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Esophagus, Lower Destruction group?

What is the clinical purpose of procedures in the 0D53 group?

Which ICD-10-PCS section and body system apply to these codes?

How does accurate coding in the 0D53 group affect reimbursement?

Which DRGs may be related when a 0D53 procedure is coded?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Esophagus, Lower Destruction group?

What is the clinical purpose of procedures in the 0D53 group?

Which ICD-10-PCS section and body system apply to these codes?

How does accurate coding in the 0D53 group affect reimbursement?

Which DRGs may be related when a 0D53 procedure is coded?

References