0D154Z9Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach
- Billable / Specific Code
0D154Z9 is a billable ICD-10-PCS procedure code for Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 15 MS-DRGs. The root operation Bypass involves altering the route of passage of the contents of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Upper GI therapeutic procedures, NEC (open and laparoscopic).
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | D | Gastrointestinal System |
| 3 | Operation | 1 | Bypass |
| 4 | BodyPart | 5 | Esophagus |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | 9 | Duodenum |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0D154Z9
Is 0D154Z9 a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0D154Z9 mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character D is the Body System (Gastrointestinal System); the 3rd character 1 is the Operation (Bypass); the 4th character 5 is the BodyPart (Esophagus); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character 9 is the Qualifier (Duodenum).
What MS-DRG does 0D154Z9 group to?
On an inpatient stay, Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach maps to MS-DRGs 326, 327, 328, 820, 821, 822, 826, 827, 828, 907, 908, 909, 957, 958, 959, with relative weights from 1.1267 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0D154Z9?
Under the General Equivalence Mappings, Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 42.53 (Intrathoracic esophageal anastomosis with interposition of small bowel) and 42.54 (Other intrathoracic esophagoenterostomy). The mapping is approximate, so confirm it fits the documentation.
