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ICD-10-PCS 2027 procedure code

0DU47KZSupplement Esophagogastric Junction with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Supplement Esophagast Junct with Nonaut 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 0DU47KZ

0DU47KZ is the ICD-10-PCS code for a supplement procedure on the esophagogastric junction using a via natural or artificial opening 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 Esophagogastroplasty, the ICD-9-CM procedure title it maps to (44.65).

For a different body part, codes include 0DU17KZ (esophagus, upper), 0DU27KZ (esophagus, middle), 0DU37KZ (esophagus, lower), 0DU57KZ (esophagus), 0DU67KZ (stomach), 0DU77KZ (stomach, pylorus) and 15 more.

The same procedure with a different approach is coded 0DU40KZ (open), 0DU44KZ (percutaneous endoscopic) and 0DU48KZ (via natural or artificial opening endoscopic).

With a different device, use 0DU477Z (autologous tissue substitute) and 0DU47JZ (synthetic 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 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”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
4Esophagogastric Junction

Includes: Cardia; Cardioesophageal junction; Gastroesophageal (GE) junction

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
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 →
  • 44.65Esophagogastroplastyapproximate

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 0DU47KZ

Is 0DU47KZ a valid ICD-10-PCS code for 2027?

Yes. 0DU47KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DU47KZ an O.R. procedure?

Yes. 0DU47KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DU47KZ group to?

Depending on the principal diagnosis, 0DU47KZ 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 0DU47KZ?

The CMS GEMs map 0DU47KZ to ICD-9-CM 44.65 (Esophagogastroplasty).