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ICD-10-PCS 2027 procedure code

0D134ZBBypass Lower Esophagus to Ileum, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Lower Esophagus to Ileum, Perc Endo 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 0D134ZB

0D134ZB is the ICD-10-PCS code for a bypass procedure on the esophagus, lower using a percutaneous endoscopic approach (qualifier: ileum). 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 0D114ZB (esophagus, upper), 0D124ZB (esophagus, middle), 0D154ZB (esophagus), 0D164ZB (stomach), 0D194ZB (duodenum), 0D1A4ZB (jejunum) and 1 more.

The same procedure with a different approach is coded 0D130ZB (open) and 0D138ZB (via natural or artificial opening endoscopic).

With a different device, use 0D1347B (autologous tissue substitute), 0D134JB (synthetic substitute) and 0D134KB (nonautologous tissue substitute).

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
ZNo Device
7. Qualifier
BIleum

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 0D134ZB

Is 0D134ZB a valid ICD-10-PCS code for 2027?

Yes. 0D134ZB is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D134ZB an O.R. procedure?

Yes. 0D134ZB is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D134ZB group to?

Depending on the principal diagnosis, 0D134ZB can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0D134ZB?

The CMS GEMs map 0D134ZB to ICD-9-CM 42.54 (Other intrathoracic esophagoenterostomy).