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ICD-10-PCS 2027 procedure code

0DU18KZSupplement Upper Esophagus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Supplement Upper Esophagus with Nonaut Sub, 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 0DU18KZ

0DU18KZ is the ICD-10-PCS code for a supplement procedure on the esophagus, upper using a via natural or artificial opening endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to other graft of esophagus, the ICD-9-CM procedure title it maps to (42.87).

For a different body part, codes include 0DU28KZ (esophagus, middle), 0DU38KZ (esophagus, lower), 0DU48KZ (esophagogastric junction), 0DU58KZ (esophagus), 0DU68KZ (stomach), 0DU78KZ (stomach, pylorus) and 15 more.

The same procedure with a different approach is coded 0DU10KZ (open), 0DU14KZ (percutaneous endoscopic) and 0DU17KZ (via natural or artificial opening).

With a different device, use 0DU187Z (autologous tissue substitute) and 0DU18JZ (synthetic substitute).

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 3 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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
1Esophagus, Upper

Includes: Cervical 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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 42.87Other graft 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 0DU18KZ

Is 0DU18KZ a valid ICD-10-PCS code for 2027?

Yes. 0DU18KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DU18KZ an O.R. procedure?

Yes. 0DU18KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DU18KZ group to?

Depending on the principal diagnosis, 0DU18KZ 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 0DU18KZ?

The CMS GEMs map 0DU18KZ to ICD-9-CM 42.87 (Other graft of esophagus).