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ICD-10-PCS 2027 procedure code

0DU277ZSupplement Middle Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Supplement Middle Esophagus with Autol Sub, 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 0DU277Z

0DU277Z is the ICD-10-PCS code for a supplement procedure on the esophagus, middle using a via natural or artificial opening approach with autologous 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 0DU177Z (esophagus, upper), 0DU377Z (esophagus, lower), 0DU477Z (esophagogastric junction), 0DU577Z (esophagus), 0DU677Z (stomach), 0DU777Z (stomach, pylorus) and 15 more.

The same procedure with a different approach is coded 0DU207Z (open), 0DU247Z (percutaneous endoscopic) and 0DU287Z (via natural or artificial opening endoscopic).

With a different device, use 0DU27JZ (synthetic substitute) and 0DU27KZ (nonautologous tissue substitute).

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
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
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 0DU277Z

Is 0DU277Z a valid ICD-10-PCS code for 2027?

Yes. 0DU277Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DU277Z an O.R. procedure?

Yes. 0DU277Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DU277Z group to?

Depending on the principal diagnosis, 0DU277Z 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 0DU277Z?

The CMS GEMs map 0DU277Z to ICD-9-CM 42.87 (Other graft of esophagus).