ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D12 includes procedures performed to bypass structures in the middle esophagus. These ICD-10-PCS codes are used for inpatient documentation when an alternate route for the passage of esophageal contents is created to circumvent obstruction, injury, or disease. Accurate coding within the ICD-10-PCS 0D12 group is essential for proper inpatient reimbursement, as it captures the specific bypass procedure performed and the anatomical target.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Esophagus, Middle Bypass Procedure Overview

This procedure group includes inpatient bypass operations performed on the middle portion of the esophagus within the gastrointestinal system. Procedures in this group involve creating an alternate route for the passage of esophageal contents to circumvent an obstructed, diseased, or damaged segment. Accurate ICD-10-PCS coding of these bypass procedures supports correct inpatient reimbursement by documenting the specific operation and anatomical target.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
1	Operation	Bypass
2	Body Part	Esophagus, Middle

Explore openpayer tools

View all tools

ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Esophagus, Middle Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
1	Operation	Bypass
2	Body Part	Esophagus, Middle

When to Use

Use a code from this group when an inpatient procedure creates a bypass of the middle esophagus to restore or redirect the passage of alimentary contents. Typical clinical circumstances include obstruction, severe stricture, or damage that prevents normal esophageal transit requiring surgical diversion.

ICD-10-PCS Codes

61 rows

ICD-10-PCS Code	Description
0D12074	Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D12076	Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D12079	Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1207A	Bypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1207B	Bypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D120J4	Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D120J6	Bypass Middle Esophagus to Stomach with Synthetic Substitute, Open Approach
0D120J9	Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D120JA	Bypass Middle Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D120JB	Bypass Middle Esophagus to Ileum with Synthetic Substitute, Open Approach

Showing 1–10 of 61

DRG Codes

15 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An adult patient presents emergently with progressive dysphagia and near-complete obstruction of the mid esophagus from an infiltrative malignancy causing inability to tolerate oral intake. After failed endoscopic dilation and stent placement, the surgical team performs an open bypass to divert the esophageal stream to the stomach using the patient’s own tissue to restore alimentary continuity. The procedure creates an alternate route for passage of contents around the diseased mid esophageal segment to allow nutrition and palliation of symptoms. Typical codes: 0D12076
A middle-aged patient with longstanding caustic injury and severe circumferential stricture of the middle esophagus is admitted for a planned reconstructive bypass. Because prior reconstructive attempts failed and local tissues are inadequate for direct repair, the team performs a percutaneous endoscopic bypass to the stomach using a synthetic conduit to reestablish enteral continuity while avoiding a large thoracoabdominal incision. This elective approach targets the mid esophageal segment to bypass the obstructed area and permit long-term oral or gastric feeding. Typical codes: 0D124J6
A patient with a prior esophageal bypass to the jejunum develops ischemia and breakdown of the original conduit, leading to leak and loss of function. During an inpatient revision, surgeons create a new open bypass from the middle esophagus to cutaneous skin for external diversion using a nonautologous (allograft or biologic) tissue substitute to control sepsis and provide nutritional access pending future reconstruction. The operation specifically bypasses the mid esophageal segment as part of salvage management of the failed conduit. Typical codes: 0D120K4

Related Codes

0D11-ESOPHAGUS-UPPER-BYPASS

ICD-10-PCS Code For Esophagus, Upper: Procedure Code Group Overview

0D13-ESOPHAGUS-LOWER-BYPASS

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

0D15-ESOPHAGUS-BYPASS

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D16-STOMACH-BYPASS

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D18-SMALL-INTESTINE-BYPASS

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0D19-DUODENUM-BYPASS

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D1A-JEJUNUM-BYPASS

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D1B-ILEUM-BYPASS

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

0D1E-LARGE-INTESTINE-BYPASS

ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview

0D1H-CECUM-BYPASS

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

Showing 1–10 of 14

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

61 rows

ICD-10-PCS Code	Description
0D12074	Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D12076	Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D12079	Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1207A	Bypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1207B	Bypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D120J4	Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D120J6	Bypass Middle Esophagus to Stomach with Synthetic Substitute, Open Approach
0D120J9	Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D120JA	Bypass Middle Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D120JB	Bypass Middle Esophagus to Ileum with Synthetic Substitute, Open Approach

Showing 1–10 of 61

DRG Codes

15 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An adult patient presents emergently with progressive dysphagia and near-complete obstruction of the mid esophagus from an infiltrative malignancy causing inability to tolerate oral intake. After failed endoscopic dilation and stent placement, the surgical team performs an open bypass to divert the esophageal stream to the stomach using the patient’s own tissue to restore alimentary continuity. The procedure creates an alternate route for passage of contents around the diseased mid esophageal segment to allow nutrition and palliation of symptoms. Typical codes: 0D12076
A middle-aged patient with longstanding caustic injury and severe circumferential stricture of the middle esophagus is admitted for a planned reconstructive bypass. Because prior reconstructive attempts failed and local tissues are inadequate for direct repair, the team performs a percutaneous endoscopic bypass to the stomach using a synthetic conduit to reestablish enteral continuity while avoiding a large thoracoabdominal incision. This elective approach targets the mid esophageal segment to bypass the obstructed area and permit long-term oral or gastric feeding. Typical codes: 0D124J6
A patient with a prior esophageal bypass to the jejunum develops ischemia and breakdown of the original conduit, leading to leak and loss of function. During an inpatient revision, surgeons create a new open bypass from the middle esophagus to cutaneous skin for external diversion using a nonautologous (allograft or biologic) tissue substitute to control sepsis and provide nutritional access pending future reconstruction. The operation specifically bypasses the mid esophageal segment as part of salvage management of the failed conduit. Typical codes: 0D120K4

Related Codes

0D11-ESOPHAGUS-UPPER-BYPASS

ICD-10-PCS Code For Esophagus, Upper: Procedure Code Group Overview

0D13-ESOPHAGUS-LOWER-BYPASS

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

0D15-ESOPHAGUS-BYPASS

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D16-STOMACH-BYPASS

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D18-SMALL-INTESTINE-BYPASS

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0D19-DUODENUM-BYPASS

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D1A-JEJUNUM-BYPASS

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D1B-ILEUM-BYPASS

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

0D1E-LARGE-INTESTINE-BYPASS

ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview

0D1H-CECUM-BYPASS

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

Showing 1–10 of 14

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview policy alerts

Esophagus, Middle Bypass Procedure Overview

Code Attributes

ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview policy alerts

Esophagus, Middle Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0D12` represent?

What types of approaches are captured within the `0D12` code group?

How do codes in `0D12` differentiate the bypass destination and material used?

Why is accurate coding within the `0D12` group important for inpatient reimbursement?

Which DRG families may be related to procedures coded from `0D12`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0D12` represent?

What types of approaches are captured within the `0D12` code group?

How do codes in `0D12` differentiate the bypass destination and material used?

Why is accurate coding within the `0D12` group important for inpatient reimbursement?

Which DRG families may be related to procedures coded from `0D12`?

References