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ICD-10-PCS 2027 procedure code

0DB10ZXExcision of Upper 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 0DB10ZX

0DB10ZX is the ICD-10-PCS code for a excision procedure on the esophagus, upper using an open approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of 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 0DB20ZX (esophagus, middle), 0DB30ZX (esophagus, lower), 0DB40ZX (esophagogastric junction), 0DB50ZX (esophagus), 0DB60ZX (stomach), 0DB70ZX (stomach, pylorus) and 20 more.

The same procedure with a different approach is coded 0DB13ZX (percutaneous), 0DB14ZX (percutaneous endoscopic), 0DB17ZX (via natural or artificial opening) and 0DB18ZX (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), 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 categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Stomach, Esophageal and Duodenal Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 1 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
BExcision

Cutting out or off, without replacement, a portion of a body part

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

Includes: Partial nephrectomy, liver biopsy

4. Body Part
1Esophagus, Upper

Includes: Cervical 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 0DB10ZX

Is 0DB10ZX a valid ICD-10-PCS code for 2027?

Yes. 0DB10ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DB10ZX an O.R. procedure?

Yes. 0DB10ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DB10ZX group to?

Depending on the principal diagnosis, 0DB10ZX can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0DB10ZX?

The CMS GEMs map 0DB10ZX to ICD-9-CM 42.25 (Open biopsy of esophagus).