ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D20 includes procedures performed to change devices in the upper intestinal tract. These ICD-10-PCS codes are used for inpatient documentation when an existing device in the upper intestinal tract is removed and replaced with an identical or similar device without cutting or puncturing the skin or a mucous membrane. Accurate coding within the ICD-10-PCS 0D20 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Upper Intestinal Tract Change Procedure Overview

This procedure group includes inpatient procedures that remove an implanted device from the upper intestinal tract and replace it with an identical or similar device without cutting or puncturing the skin or a mucous membrane. These procedures target the gastrointestinal system and specifically the upper intestinal tract. Accurate ICD-10-PCS coding ensures the procedure performed is captured correctly for inpatient reimbursement and supports clinical documentation integrity.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
2	Operation	Change
0	Body Part	Upper Intestinal Tract

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ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

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Upper Intestinal Tract Change Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
2	Operation	Change
0	Body Part	Upper Intestinal Tract

When to Use

Use a code from this group when an implanted device in the upper intestinal tract is exchanged for an identical or similar device during an inpatient encounter without open surgical access. Do not use these codes for device removals without replacement or for procedures that require cutting or puncturing the skin or mucous membranes.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0D20X0Z	Change Drainage Device in Upper Intestinal Tract, External Approach
0D20XUZ	Change Feeding Device in Upper Intestinal Tract, External Approach
0D20XYZ	Change Other Device in Upper Intestinal Tract, External Approach

Typical Clinical Scenarios

An elderly patient with long-standing percutaneous gastrojejunostomy tube presents with sudden blockage of the external feeding lumen and inability to tolerate enteral nutrition. Because the existing feeding device cannot be cleared at bedside and enteral access is urgently required for inpatient management, the team removes the dysfunctional feeding tube and replaces it with an identical external feeding device without cutting or puncturing the skin or mucous membrane. The procedure restores nutritional access while avoiding open surgical entry. Typical codes: 0D20XUZ
A medically stable adult is admitted electively for scheduled exchange of a malfunctioning external drainage tube that traverses the upper intestinal tract tract (for example a transgastric external drainage catheter) due to chronic bile or pancreatic drainage needs. The device is intentionally removed and replaced with an identical external drainage device under controlled inpatient conditions without open surgical access to maintain ongoing drainage therapy and prevent recurrent obstruction or infection. Typical codes: 0D20X0Z
A patient who previously had an external feeding tube placed develops localized skin erosion and device-site leak with persistent peritubal irritation but no signs of systemic infection; the device is exchanged to correct the complication and prevent further skin breakdown. Inpatient management includes removing the existing external feeding device and inserting a similar external feeding device without cutting or puncturing the skin or mucous membrane to address the complication and allow monitoring. Typical codes: 0D20XUZ

Related Codes

0D2D-LOWER-INTESTINAL-TRACT-CHANGE

ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview

0D2U-OMENTUM-CHANGE

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

0D2V-MESENTERY-CHANGE

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

0D2W-PERITONEUM-CHANGE

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

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.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0D20X0Z	Change Drainage Device in Upper Intestinal Tract, External Approach
0D20XUZ	Change Feeding Device in Upper Intestinal Tract, External Approach
0D20XYZ	Change Other Device in Upper Intestinal Tract, External Approach

Typical Clinical Scenarios

An elderly patient with long-standing percutaneous gastrojejunostomy tube presents with sudden blockage of the external feeding lumen and inability to tolerate enteral nutrition. Because the existing feeding device cannot be cleared at bedside and enteral access is urgently required for inpatient management, the team removes the dysfunctional feeding tube and replaces it with an identical external feeding device without cutting or puncturing the skin or mucous membrane. The procedure restores nutritional access while avoiding open surgical entry. Typical codes: 0D20XUZ
A medically stable adult is admitted electively for scheduled exchange of a malfunctioning external drainage tube that traverses the upper intestinal tract tract (for example a transgastric external drainage catheter) due to chronic bile or pancreatic drainage needs. The device is intentionally removed and replaced with an identical external drainage device under controlled inpatient conditions without open surgical access to maintain ongoing drainage therapy and prevent recurrent obstruction or infection. Typical codes: 0D20X0Z
A patient who previously had an external feeding tube placed develops localized skin erosion and device-site leak with persistent peritubal irritation but no signs of systemic infection; the device is exchanged to correct the complication and prevent further skin breakdown. Inpatient management includes removing the existing external feeding device and inserting a similar external feeding device without cutting or puncturing the skin or mucous membrane to address the complication and allow monitoring. Typical codes: 0D20XUZ

Related Codes

0D2D-LOWER-INTESTINAL-TRACT-CHANGE

ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview

0D2U-OMENTUM-CHANGE

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

0D2V-MESENTERY-CHANGE

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

0D2W-PERITONEUM-CHANGE

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

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 Upper Intestinal Tract: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview policy alerts

Upper Intestinal Tract Change Procedure Overview

Code Attributes

ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview policy alerts

Upper Intestinal Tract Change Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 0D20 group?

What is the operation and approach defined for codes in this group?

Which specific ICD-10-PCS codes are in the 0D20 group?

Why is accurate coding within ICD-10-PCS 0D20 important for inpatient records?

What section and body system do these codes belong to?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 0D20 group?

What is the operation and approach defined for codes in this group?

Which specific ICD-10-PCS codes are in the 0D20 group?

Why is accurate coding within ICD-10-PCS 0D20 important for inpatient records?

What section and body system do these codes belong to?

References