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ICD-10-PCS 2027 procedure code

0DC20ZZExtirpation of Matter from Middle Esophagus, Open Approach

✓ 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 0DC20ZZ

0DC20ZZ is the ICD-10-PCS code for a extirpation procedure on the esophagus, middle using an open approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to other incision of esophagus, the ICD-9-CM procedure title it maps to (42.09).

For a different body part, codes include 0DC10ZZ (esophagus, upper), 0DC30ZZ (esophagus, lower), 0DC40ZZ (esophagogastric junction), 0DC50ZZ (esophagus), 0DC60ZZ (stomach), 0DC70ZZ (stomach, pylorus) and 20 more.

The same procedure with a different approach is coded 0DC23ZZ (percutaneous), 0DC24ZZ (percutaneous endoscopic), 0DC27ZZ (via natural or artificial opening) and 0DC28ZZ (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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Stomach, Esophageal and Duodenal Procedures” and “Other O.R. Procedures for Injuries”.

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
CExtirpation

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

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
ZNo Qualifier

Other versions of this procedure

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 →
  • 42.09Other incision 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 0DC20ZZ

Is 0DC20ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DC20ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DC20ZZ an O.R. procedure?

Yes. 0DC20ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DC20ZZ group to?

Depending on the principal diagnosis, 0DC20ZZ can group to MS-DRG 326, MS-DRG 327, MS-DRG 328, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DC20ZZ?

The CMS GEMs map 0DC20ZZ to ICD-9-CM 42.09 (Other incision of esophagus).