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ICD-10-PCS 2027 procedure code

0DB38ZZExcision of Lower Esophagus, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Excision of Lower 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 0DB38ZZ

0DB38ZZ is the ICD-10-PCS code for a excision procedure on the esophagus, lower using a via natural or artificial opening endoscopic 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 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 0DB18ZZ (esophagus, upper), 0DB28ZZ (esophagus, middle), 0DB48ZZ (esophagogastric junction), 0DB58ZZ (esophagus), 0DB68ZZ (stomach), 0DB78ZZ (stomach, pylorus) and 16 more.

The same procedure with a different approach is coded 0DB30ZZ (open), 0DB33ZZ (percutaneous), 0DB34ZZ (percutaneous endoscopic) and 0DB37ZZ (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
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
3Esophagus, Lower

Includes: Abdominal 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 0DB38ZZ

Is 0DB38ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DB38ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0DB38ZZ?

The CMS GEMs map 0DB38ZZ to ICD-9-CM 42.33 (Endoscopic excision or destruction of lesion or tissue of esophagus).