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ICD-10-PCS 2027 procedure code

0D1587ABypass Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Bypass Esophagus to Jejunum with Autol Sub, 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 0D1587A

0D1587A is the ICD-10-PCS code for a bypass procedure on the esophagus using a via natural or artificial opening endoscopic approach with autologous 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 intrathoracic esophageal anastomosis with interposition of small bowel and other intrathoracic esophagoenterostomy, the ICD-9-CM procedure titles it maps to (42.53 and 42.54).

For a different body part, codes include 0D1187A (esophagus, upper), 0D1287A (esophagus, middle), 0D1387A (esophagus, lower), 0D1687A (stomach), 0D1987A (duodenum) and 0D1A87A (jejunum).

The same procedure with a different approach is coded 0D1507A (open) and 0D1547A (percutaneous endoscopic).

With a different device, use 0D158JA (synthetic substitute), 0D158KA (nonautologous tissue substitute) and 0D158ZA (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
5Esophagus
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
7Autologous Tissue Substitute

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

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 →
  • 42.53Intrathoracic esophageal anastomosis with interposition of small bowelapproximate
  • 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 0D1587A

Is 0D1587A a valid ICD-10-PCS code for 2027?

Yes. 0D1587A is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D1587A an O.R. procedure?

Yes. 0D1587A is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D1587A group to?

Depending on the principal diagnosis, 0D1587A 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 0D1587A?

The CMS GEMs map 0D1587A to ICD-9-CM 42.53 (Intrathoracic esophageal anastomosis with interposition of small bowel) and 42.54 (Other intrathoracic esophagoenterostomy).