0DR587ZReplacement of Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
- Billable / Specific Code
0DR587Z is a billable ICD-10-PCS procedure code for Replacement of Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 15 MS-DRGs. The root operation Replacement involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under GI system repair (excluding anorectal).
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 | R | Replacement |
| 4 | BodyPart | 5 | Esophagus |
| 5 | Approach | 8 | Via Natural or Artificial Opening Endoscopic |
| 6 | Device | 7 | Autologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2026 ICD-10-PCS Alphabetic Index entries lead to this code:
To code replacement of the esophagus, open the FY 2026 ICD-10-PCS Alphabetic Index at Replacement, then the subterm Esophagus. The index leads to table 0DR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0DR587Z.
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 0DR587Z
Is 0DR587Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0DR587Z 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 R is the Operation (Replacement); the 4th character 5 is the BodyPart (Esophagus); the 5th character 8 is the Approach (Via Natural or Artificial Opening Endoscopic); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0DR587Z group to?
On an inpatient stay, Replacement of Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic maps to MS-DRGs 326, 327, 328, 820, 821, 822, 826, 827, 828, 907, 908, 909, 957, 958, 959, with relative weights from 1.2040 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0DR587Z?
Under the General Equivalence Mappings, Replacement of Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic crosswalks to ICD-9-PCS 42.87 (Other graft of esophagus). The mapping is approximate, so confirm it fits the documentation.
