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ICD-10-PCS 2027 procedure code

0DF57ZZFragmentation in Esophagus, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Fragmentation in 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 0DF57ZZ

0DF57ZZ is the ICD-10-PCS code for a fragmentation procedure on the esophagus using a via natural or artificial opening approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to other repair of esophagus, the ICD-9-CM procedure title it maps to (42.89).

For a different body part, codes include 0DF67ZZ (stomach), 0DF87ZZ (small intestine), 0DF97ZZ (duodenum), 0DFA7ZZ (jejunum), 0DFB7ZZ (ileum), 0DFE7ZZ (large intestine) and 10 more.

The same procedure with a different approach is coded 0DF50ZZ (open), 0DF53ZZ (percutaneous), 0DF54ZZ (percutaneous endoscopic), 0DF58ZZ (via natural or artificial opening endoscopic) and 0DF5XZZ (external).

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
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

4. Body Part
5Esophagus
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

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 →
  • 42.89Other repair 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 0DF57ZZ

Is 0DF57ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DF57ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DF57ZZ an O.R. procedure?

Yes. 0DF57ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DF57ZZ group to?

Depending on the principal diagnosis, 0DF57ZZ 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 0DF57ZZ?

The CMS GEMs map 0DF57ZZ to ICD-9-CM 42.89 (Other repair of esophagus).