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ICD-10-PCS 2027 procedure code

0D138Z6Bypass Lower Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Bypass Lower Esophagus to Stomach, 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 0D138Z6

0D138Z6 is the ICD-10-PCS code for a bypass procedure on the esophagus, lower using a via natural or artificial opening endoscopic approach (qualifier: stomach). 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 intrathoracic esophagogastrostomy, the ICD-9-CM procedure title it maps to (42.52).

For a different body part, codes include 0D118Z6 (esophagus, upper), 0D128Z6 (esophagus, middle) and 0D158Z6 (esophagus).

The same procedure with a different approach is coded 0D130Z6 (open) and 0D134Z6 (percutaneous endoscopic).

With a different device, use 0D13876 (autologous tissue substitute), 0D138J6 (synthetic substitute) and 0D138K6 (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), 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
3Esophagus, Lower

Includes: Abdominal esophagus

5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
6Stomach

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 →
  • 42.52Intrathoracic esophagogastrostomyapproximate

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 0D138Z6

Is 0D138Z6 a valid ICD-10-PCS code for 2027?

Yes. 0D138Z6 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D138Z6 an O.R. procedure?

Yes. 0D138Z6 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D138Z6 group to?

Depending on the principal diagnosis, 0D138Z6 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 0D138Z6?

The CMS GEMs map 0D138Z6 to ICD-9-CM 42.52 (Intrathoracic esophagogastrostomy).