0F590ZZ ICD-10-PCS Code: Destruction of Common Bile Duct, Open Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemF | Hepatobiliary System and Pancreas |
| 3 | Root Operation5 | Destruction Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent |
| 4 | Body Part9 | Common Bile Duct |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:
- MDC 06 — Other Digestive System O.R. Procedures: DRG 356, DRG 357, DRG 358
- MDC 07 — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.: DRG 408, DRG 409, DRG 410
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0F550ZZ — Destruction of Right Hepatic Duct, Open Approach, 0F560ZZ — Destruction of Left Hepatic Duct, Open Approach, 0F570ZZ — Destruction of Common Hepatic Duct, Open Approach, 0F580ZZ — Destruction of Cystic Duct, Open Approach, 0F5C0ZZ — Destruction of Ampulla of Vater, Open Approach, 0F5D0ZZ — Destruction of Pancreatic Duct, Open Approach, 0F5F0ZZ — Destruction of Accessory Pancreatic Duct, Open Approach, 0F5G0ZZ — Destruction of Pancreas, Open Approach, +4 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0F593ZZ — Destruction of Common Bile Duct, Percutaneous Approach, 0F594ZZ — Destruction of Common Bile Duct, Percutaneous Endoscopic Approach, 0F597ZZ — Destruction of Common Bile Duct, Via Natural or Artificial Opening, 0F598ZZ — Destruction of Common Bile Duct, Via Natural or Artificial Opening Endoscopic
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0F590Z3 — Destruction of Common Bile Duct using Laser Interstitial Thermal Therapy, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Hepatobiliary resection and ablation (Hepatobiliary and Pancreas Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0FB00ZZ — Excision of Liver, Open Approach, 0FB03ZZ — Excision of Liver, Percutaneous Approach, 0FB04ZG — Excision of Liver, Percutaneous Endoscopic Approach, Hand-Assisted, 0FB04ZZ — Excision of Liver, Percutaneous Endoscopic Approach, 0FB10ZZ — Excision of Right Lobe Liver, Open Approach, 0FB13ZZ — Excision of Right Lobe Liver, Percutaneous Approach, 0FB14ZG — Excision of Right Lobe Liver, Percutaneous Endoscopic Approach, Hand-Assisted, 0FB14ZZ — Excision of Right Lobe Liver, Percutaneous Endoscopic Approach, 0FB20ZZ — Excision of Left Lobe Liver, Open Approach, 0FB23ZZ — Excision of Left Lobe Liver, Percutaneous Approach, 0FB24ZG — Excision of Left Lobe Liver, Percutaneous Endoscopic Approach, Hand-Assisted, 0FB24ZZ — Excision of Left Lobe Liver, Percutaneous Endoscopic Approach, 0FB50ZZ — Excision of Right Hepatic Duct, Open Approach, 0FB53ZZ — Excision of Right Hepatic Duct, Percutaneous Approach, 0FB54ZZ — Excision of Right Hepatic Duct, Percutaneous Endoscopic Approach, 0FB57ZZ — Excision of Right Hepatic Duct, Via Natural or Artificial Opening, 0FB58ZZ — Excision of Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic, 0FB60ZZ — Excision of Left Hepatic Duct, Open Approach, 0FB63ZZ — Excision of Left Hepatic Duct, Percutaneous Approach, 0FB64ZZ — Excision of Left Hepatic Duct, Percutaneous Endoscopic Approach, +49 more
Contextual Map
Every relationship of 0F590ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0F590ZZ with these 5 related codes in Claim Check
PCS table
- 0F5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Hepatobiliary System and Pancreas — Body System: Hepatobiliary System and Pancreas[Body System]: “Hepatobiliary System and Pancreas”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 356 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 408 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC[MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 409 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC[MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 410 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC[MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- HEP004 — Hepatobiliary resection and ablation[CCSR category]: “Hepatobiliary resection and ablation — Hepatobiliary and Pancreas Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1493)
- MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas[MDC crossing]: “Diseases and Disorders of the Hepatobiliary System and Pancreas — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A00.0 — Cholera due to Vibrio cholerae 01, biovar cholerae[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar cholerae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A00.1 — Cholera due to Vibrio cholerae 01, biovar eltor[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar eltor — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A00.9 — Cholera, unspecified[Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A02.0 — Salmonella enteritis[Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A03.0 — Shigellosis due to Shigella dysenteriae[Same-MDC diagnosis]: “Shigellosis due to Shigella dysenteriae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 1488 more
Nearest codes
- 0F500ZZ — Destruction of Liver, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0F510ZZ — Destruction of Right Lobe Liver, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0F520ZZ — Destruction of Left Lobe Liver, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0F540ZZ — Destruction of Gallbladder, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0F550ZZ — Destruction of Right Hepatic Duct, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0F560ZZ — Destruction of Left Hepatic Duct, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0F570ZZ — Destruction of Common Hepatic Duct, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0F580ZZ — Destruction of Cystic Duct, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels