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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D58 includes procedures performed to destroy tissue in the small intestine. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the small intestine is eradicated by direct application of energy, force, or a destructive agent. Accurate coding within the ICD-10-PCS 0D58 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Small Intestine Destruction Procedure Overview

This procedure group includes inpatient destruction procedures that target the small intestine within the gastrointestinal system. These procedures involve the direct use of energy, force, or a destructive agent to eradicate all or a portion of the small intestine tissue without excision. Accurate ICD-10-PCS coding of these destruction procedures supports correct clinical documentation and is important for appropriate inpatient reimbursement and case-mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
5	Operation	Destruction
8	Body Part	Small Intestine

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

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Small Intestine 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
8	Body Part	Small Intestine

When to Use

Use codes from this group when the clinical procedure intentionally eradicates all or part of the small intestine tissue by direct application of a destructive method. Do not use these codes for excision, resection, or procedures that remove tissue rather than destroy it in place.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
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

DRG Codes

12 rows

DRG Code	Description
344	Minor Small and Large Bowel Procedures with MCC
345	Minor Small and Large Bowel Procedures with CC
346	Minor Small and Large Bowel 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 on chronic anticoagulation presents to the emergency department with sudden-onset severe abdominal pain, hemodynamic instability, and imaging showing focal transmural necrosis of a segment of the small intestine without clear perforation; the surgical team determines that nonexcisional destruction of the necrotic bowel segment is required intraoperatively to control contamination and devitalized tissue when resection is not feasible due to patient instability. Typical codes: 0D580ZZ, 0D587ZZ
A middle-aged patient with multiple prior abdominal surgeries and dense adhesions is scheduled for an elective procedure to ablate a localized small intestinal arteriovenous malformation causing chronic bleeding; the team elects a minimally invasive percutaneous endoscopic destructive technique to eradicate the lesion while avoiding formal resection. Typical codes: 0D584Z3, 0D584ZZ
A hospitalized patient with an established enterocutaneous fistula from prior Crohn disease fails conservative therapy and develops a small, localized segment of diseased small intestine that is destroyed endoscopically via a natural orifice approach to manage ongoing sepsis and avoid extended resection. Typical codes: 0D588ZZ, 0D583ZZ

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

0D53-ESOPHAGUS-LOWER-DESTRUCTION

ICD-10-PCS Code For Esophagus, Lower: 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

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
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

DRG Codes

12 rows

DRG Code	Description
344	Minor Small and Large Bowel Procedures with MCC
345	Minor Small and Large Bowel Procedures with CC
346	Minor Small and Large Bowel 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 on chronic anticoagulation presents to the emergency department with sudden-onset severe abdominal pain, hemodynamic instability, and imaging showing focal transmural necrosis of a segment of the small intestine without clear perforation; the surgical team determines that nonexcisional destruction of the necrotic bowel segment is required intraoperatively to control contamination and devitalized tissue when resection is not feasible due to patient instability. Typical codes: 0D580ZZ, 0D587ZZ
A middle-aged patient with multiple prior abdominal surgeries and dense adhesions is scheduled for an elective procedure to ablate a localized small intestinal arteriovenous malformation causing chronic bleeding; the team elects a minimally invasive percutaneous endoscopic destructive technique to eradicate the lesion while avoiding formal resection. Typical codes: 0D584Z3, 0D584ZZ
A hospitalized patient with an established enterocutaneous fistula from prior Crohn disease fails conservative therapy and develops a small, localized segment of diseased small intestine that is destroyed endoscopically via a natural orifice approach to manage ongoing sepsis and avoid extended resection. Typical codes: 0D588ZZ, 0D583ZZ

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

0D53-ESOPHAGUS-LOWER-DESTRUCTION

ICD-10-PCS Code For Esophagus, Lower: 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

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 Small Intestine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview policy alerts

Small Intestine Destruction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview policy alerts

Small Intestine Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0D58` represent?

What types of approaches are included in the `0D58` code group codes?

How are individual procedures within the `0D58` group specified for laser therapy?

Why is accurate coding of `0D58` procedures important for inpatient documentation?

Which DRG groups may be related to procedures coded in the `0D58` group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0D58` represent?

What types of approaches are included in the `0D58` code group codes?

How are individual procedures within the `0D58` group specified for laser therapy?

Why is accurate coding of `0D58` procedures important for inpatient documentation?

Which DRG groups may be related to procedures coded in the `0D58` group?

References