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ICD-10-PCS 2027 procedure code

0DB27ZZExcision of Middle Esophagus, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Excision of Middle Esophagus, Via Opening

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 0DB27ZZ

0DB27ZZ is the ICD-10-PCS code for a excision procedure on the esophagus, middle using a via natural or artificial opening approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to local excision of other lesion or tissue of esophagus, other destruction of lesion or tissue of esophagus and partial esophagectomy, the ICD-9-CM procedure titles it maps to (42.32, 42.39 and 42.41).

For a different body part, codes include 0DB17ZZ (esophagus, upper), 0DB37ZZ (esophagus, lower), 0DB47ZZ (esophagogastric junction), 0DB57ZZ (esophagus), 0DB67ZZ (stomach), 0DB77ZZ (stomach, pylorus) and 16 more.

The same procedure with a different approach is coded 0DB20ZZ (open), 0DB23ZZ (percutaneous), 0DB24ZZ (percutaneous endoscopic) and 0DB28ZZ (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”, “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
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
2Esophagus, Middle

Includes: Thoracic esophagus

5. Approach
7Via Natural or Artificial Opening

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

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

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 →
  • 42.32Local excision of other lesion or tissue of esophagusapproximate
  • 42.39Other destruction of lesion or tissue of esophagusapproximate
  • 42.41Partial esophagectomyapproximate

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 0DB27ZZ

Is 0DB27ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DB27ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DB27ZZ an O.R. procedure?

Yes. 0DB27ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DB27ZZ group to?

Depending on the principal diagnosis, 0DB27ZZ 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 0DB27ZZ?

The CMS GEMs map 0DB27ZZ to ICD-9-CM 42.32 (Local excision of other lesion or tissue of esophagus), 42.39 (Other destruction of lesion or tissue of esophagus) and 42.41 (Partial esophagectomy).