Skip to content
Dx

ICD-10-PCS 2027 procedure code

0D12074Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Mid Esophag to Cutan with Autol Sub, Open Approach

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 0D12074

0D12074 is the ICD-10-PCS code for a bypass procedure on the esophagus, middle using an open approach with autologous tissue substitute (qualifier: cutaneous). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to other external fistulization of esophagus, the ICD-9-CM procedure title it maps to (42.19).

For a different body part, codes include 0D11074 (esophagus, upper), 0D13074 (esophagus, lower), 0D15074 (esophagus), 0D16074 (stomach), 0D18074 (small intestine), 0D19074 (duodenum) and 8 more.

The same procedure with a different approach is coded 0D12474 (percutaneous endoscopic) and 0D12874 (via natural or artificial opening endoscopic).

With a different device, use 0D120J4 (synthetic substitute), 0D120K4 (nonautologous tissue substitute) and 0D120Z4 (no device).

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 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 “Stomach, Esophageal and Duodenal Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 2 more.

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
1Bypass

Altering the route of passage of the contents of a tubular body part

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
2Esophagus, Middle

Includes: Thoracic esophagus

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
4Cutaneous

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 →
  • 42.19Other external fistulization of esophagusapproximate

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 0D12074

Is 0D12074 a valid ICD-10-PCS code for 2027?

Yes. 0D12074 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D12074 an O.R. procedure?

Yes. 0D12074 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D12074 group to?

Depending on the principal diagnosis, 0D12074 can group to MS-DRG 326, MS-DRG 327, MS-DRG 328, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

What is the ICD-9 procedure code for 0D12074?

The CMS GEMs map 0D12074 to ICD-9-CM 42.19 (Other external fistulization of esophagus).