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ICD-10-PCS 2027 procedure code

0DX84Z5Transfer Small Intestine to Esophagus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Transfer Small Intestine to Esophagus, Perc Endo Approach

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 0DX84Z5

0DX84Z5 is the ICD-10-PCS code for a transfer procedure on the small intestine using a percutaneous endoscopic approach (qualifier: esophagus). In ICD-10-PCS, transfer means moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part.

In plain terms, this corresponds to intrathoracic esophageal anastomosis with interposition of small bowel, the ICD-9-CM procedure title it maps to (42.53).

For a different body part, codes include 0DX64Z5 (stomach) and 0DXE4Z5 (large intestine).

The same procedure with a different approach is coded 0DX80Z5 (open).

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
XTransfer

Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part

The body part transferred remains connected to its vascular and nervous supply

Includes: Tendon transfer, skin pedicle flap transfer

4. Body Part
8Small Intestine
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
5Esophagus

Other versions of this procedure

Different approach

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 →
  • 42.53Intrathoracic esophageal anastomosis with interposition of small bowelapproximate

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 0DX84Z5

Is 0DX84Z5 a valid ICD-10-PCS code for 2027?

Yes. 0DX84Z5 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DX84Z5 an O.R. procedure?

Yes. 0DX84Z5 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DX84Z5 group to?

Depending on the principal diagnosis, 0DX84Z5 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 0DX84Z5?

The CMS GEMs map 0DX84Z5 to ICD-9-CM 42.53 (Intrathoracic esophageal anastomosis with interposition of small bowel).