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ICD-10-PCS 2027 procedure code

0DU487ZSupplement Esophagogastric Junction with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Supplement Esophagogastric Junction with Autol 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 0DU487Z

0DU487Z is the ICD-10-PCS code for a supplement procedure on the esophagogastric junction using a via natural or artificial opening endoscopic 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 Esophagogastroplasty, the ICD-9-CM procedure title it maps to (44.65).

For a different body part, codes include 0DU187Z (esophagus, upper), 0DU287Z (esophagus, middle), 0DU387Z (esophagus, lower), 0DU587Z (esophagus), 0DU687Z (stomach), 0DU787Z (stomach, pylorus) and 15 more.

The same procedure with a different approach is coded 0DU407Z (open), 0DU447Z (percutaneous endoscopic) and 0DU477Z (via natural or artificial opening).

With a different device, use 0DU48JZ (synthetic substitute) and 0DU48KZ (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 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
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
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 →
  • 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 0DU487Z

Is 0DU487Z a valid ICD-10-PCS code for 2027?

Yes. 0DU487Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DU487Z an O.R. procedure?

Yes. 0DU487Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DU487Z group to?

Depending on the principal diagnosis, 0DU487Z 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 0DU487Z?

The CMS GEMs map 0DU487Z to ICD-9-CM 44.65 (Esophagogastroplasty).