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ICD-10-PCS 2027 procedure code

0D920ZXDrainage of Middle Esophagus, Open Approach, Diagnostic

✓ Valid for 2027O.R. procedure

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 0D920ZX

0D920ZX is the ICD-10-PCS code for a drainage procedure on the esophagus, middle using an open approach (qualifier: diagnostic). In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to open biopsy of esophagus, the ICD-9-CM procedure title it maps to (42.25).

For a different body part, codes include 0D910ZX (esophagus, upper), 0D930ZX (esophagus, lower), 0D940ZX (esophagogastric junction), 0D950ZX (esophagus), 0D960ZX (stomach), 0D970ZX (stomach, pylorus) and 20 more.

The same procedure with a different approach is coded 0D923ZX (percutaneous), 0D924ZX (percutaneous endoscopic), 0D927ZX (via natural or artificial opening) and 0D928ZX (via natural or artificial opening endoscopic).

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” and “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. 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
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

4. Body Part
2Esophagus, Middle

Includes: Thoracic esophagus

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo Device
7. Qualifier
XDiagnostic

Other versions of this procedure

Different qualifier

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 →
  • 42.25Open biopsy 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 0D920ZX

Is 0D920ZX a valid ICD-10-PCS code for 2027?

Yes. 0D920ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D920ZX an O.R. procedure?

Yes. 0D920ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D920ZX group to?

Depending on the principal diagnosis, 0D920ZX 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 0D920ZX?

The CMS GEMs map 0D920ZX to ICD-9-CM 42.25 (Open biopsy of esophagus).