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ICD-10-PCS 2027 procedure code

0D528ZZDestruction of Middle Esophagus, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Destruction of Middle Esophagus, 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 0D528ZZ

0D528ZZ is the ICD-10-PCS code for a destruction procedure on the esophagus, middle using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to endoscopic excision or destruction of lesion or tissue of esophagus, the ICD-9-CM procedure title it maps to (42.33).

For a different body part, codes include 0D518ZZ (esophagus, upper), 0D538ZZ (esophagus, lower), 0D548ZZ (esophagogastric junction), 0D558ZZ (esophagus), 0D568ZZ (stomach), 0D578ZZ (stomach, pylorus) and 16 more.

The same procedure with a different approach is coded 0D520ZZ (open), 0D523ZZ (percutaneous), 0D524ZZ (percutaneous endoscopic) and 0D527ZZ (via natural or artificial opening).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
2Esophagus, Middle

Includes: Thoracic 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
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 42.33Endoscopic excision or destruction of lesion or tissue of esophagusapproximate

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 0D528ZZ

Is 0D528ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D528ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0D528ZZ?

The CMS GEMs map 0D528ZZ to ICD-9-CM 42.33 (Endoscopic excision or destruction of lesion or tissue of esophagus).