2025 ICD-10-CM Procedure Code 0D9240Z

Drainage of Middle Esophagus with Drainage Device, Percutaneous Endoscopic Approach

ICD-10-PCS Code:: 0D9240Z
ICD-10-PCS Code for:: Drainage of Mid Esophag with Drain Dev, Perc Endo Approach
Is Billable?: Yes - Valid for Submission
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0D9240Z is a billable procedure code used to specify the performance of drainage of middle esophagus with drainage device, percutaneous endoscopic approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves taking or letting out fluids and/or gases from a body part. Procedure code explanation: the qualifier diagnostic is used to identify drainage procedures that are biopsies thoracentesis, incision and drainage

Table of Contents

Code Information
PCS Table
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

0D9240Z PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the gastrointestinal system body system, classified under drainage operation. The applicable bodypart for this procedure code is esophagus, middle.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	D	Gastrointestinal System
3	Operation	9	Drainage	Involves: Taking or letting out fluids and/or gases from a body part Explanation: The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies Includes: Thoracentesis, incision and drainage
4	BodyPart	2	Esophagus, Middle	Includes: Thoracic esophagus
5	Approach	4	Percutaneous Endoscopic	Involves: 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	0	Drainage Device	Includes: Cystostomy tube Foley catheter Percutaneous nephrostomy catheter Thoracostomy tube
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Clinical Classification

Clinical Category is GI system drainage (excluding paracentesis)
CCSR Category Code: GIS007
Clinical Domain is Gastrointestinal System Procedures - GIS contains 29 categories that include procedures performed on the gastrointestinal (GI) system, such as appendectomy, gastrostomy, and colonoscopy and proctoscopy with biopsy.

0D9240Z is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 0D9240Z is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
326	Stomach, Esophageal and Duodenal Procedures with MCC	06
327	Stomach, Esophageal and Duodenal Procedures with CC	06
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC	06
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 4209 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Drainage Esophagus, Middle

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What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.