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ICD-10-PCS 2027 procedure code

0D134KABypass Lower Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Low Esophag to Jejunum 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 0D134KA

0D134KA is the ICD-10-PCS code for a bypass procedure on the esophagus, lower using a percutaneous endoscopic approach with nonautologous tissue substitute (qualifier: jejunum). 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 0D114KA (esophagus, upper), 0D124KA (esophagus, middle), 0D154KA (esophagus), 0D164KA (stomach), 0D194KA (duodenum) and 0D1A4KA (jejunum).

The same procedure with a different approach is coded 0D130KA (open) and 0D138KA (via natural or artificial opening endoscopic).

With a different device, use 0D1347A (autologous tissue substitute), 0D134JA (synthetic substitute) and 0D134ZA (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
3Esophagus, Lower

Includes: Abdominal 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
AJejunum

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 0D134KA

Is 0D134KA a valid ICD-10-PCS code for 2027?

Yes. 0D134KA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D134KA an O.R. procedure?

Yes. 0D134KA is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D134KA group to?

Depending on the principal diagnosis, 0D134KA can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0D134KA?

The CMS GEMs map 0D134KA to ICD-9-CM 42.54 (Other intrathoracic esophagoenterostomy).