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ICD-10-PCS 2027 procedure code

0D124K9Bypass Middle Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Mid Esophag to Duoden w Nonaut Sub, Perc Endo

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 0D124K9

0D124K9 is the ICD-10-PCS code for a bypass procedure on the esophagus, middle using a percutaneous endoscopic approach with nonautologous tissue substitute (qualifier: duodenum). 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 intrathoracic esophagoenterostomy, the ICD-9-CM procedure title it maps to (42.54).

For a different body part, codes include 0D114K9 (esophagus, upper), 0D134K9 (esophagus, lower), 0D154K9 (esophagus), 0D164K9 (stomach) and 0D194K9 (duodenum).

The same procedure with a different approach is coded 0D120K9 (open) and 0D128K9 (via natural or artificial opening endoscopic).

With a different device, use 0D12479 (autologous tissue substitute), 0D124J9 (synthetic substitute) and 0D124Z9 (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) and DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), under the surgical category “Stomach, Esophageal and Duodenal Procedures”.

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
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
9Duodenum

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 →
  • 42.54Other intrathoracic esophagoenterostomyapproximate

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 0D124K9

Is 0D124K9 a valid ICD-10-PCS code for 2027?

Yes. 0D124K9 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D124K9 an O.R. procedure?

Yes. 0D124K9 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D124K9 group to?

Depending on the principal diagnosis, 0D124K9 can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0D124K9?

The CMS GEMs map 0D124K9 to ICD-9-CM 42.54 (Other intrathoracic esophagoenterostomy).