ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D54 includes procedures performed to destroy all or a portion of the esophagogastric junction. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs destruction of tissue at the esophagogastric junction using energy, force, or a destructive agent. Accurate coding within the ICD-10-PCS 0D54 group is essential for proper inpatient reimbursement, as it captures the specific destruction procedure performed and determines appropriate case mix and payment.

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Esophagogastric Junction Destruction Procedure Overview

This procedure group includes destruction procedures performed on the esophagogastric junction within the gastrointestinal system. These procedures involve the direct use of energy, force, or a destructive agent to eradicate all or a portion of the esophagogastric junction. Accurate ICD-10-PCS coding of these destruction procedures is important for inpatient reimbursement because it documents the specific operation performed and supports correct case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
5	Operation	Destruction
4	Body Part	Esophagogastric Junction

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ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

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Esophagogastric Junction Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
5	Operation	Destruction
4	Body Part	Esophagogastric Junction

When to Use

Use a code from this group when the clinical record documents destruction of the esophagogastric junction as the primary procedure performed. Select the specific ICD-10-PCS code that matches the documented method of destruction and extent of the body part involved.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0D540Z3	Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Open Approach
0D540ZZ	Destruction of Esophagogastric Junction, Open Approach
0D543Z3	Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Approach
0D543ZZ	Destruction of Esophagogastric Junction, Percutaneous Approach
0D544Z3	Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0D544ZZ	Destruction of Esophagogastric Junction, Percutaneous Endoscopic Approach
0D547ZZ	Destruction of Esophagogastric Junction, Via Natural or Artificial Opening
0D548ZZ	Destruction of Esophagogastric Junction, Via Natural or Artificial Opening Endoscopic

DRG Codes

12 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
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with long-standing gastroesophageal reflux disease presents acutely with progressive dysphagia and weight loss; endoscopy reveals an ulcerated, circumferential lesion at the esophagogastric junction suspicious for high-grade dysplasia or early carcinoma. The surgical team admits the patient for a planned inpatient endoscopic and interventional treatment to eradicate the diseased mucosa at the gastroesophageal junction to control local disease and obtain tissue for staging. Typical codes: 0D544Z3, 0D544ZZ
A middle-aged patient with recurrent bleeding from a bleeding Dieulafoy lesion located at the esophagogastric junction fails endoscopic hemostasis during an emergency endoscopy and continues to have hemodynamic instability. The patient is taken to the operating room for definitive destruction of the bleeding focal lesion at the esophagogastric junction to control hemorrhage and allow stabilization. Typical codes: 0D540Z3, 0D540ZZ
A patient with prior endoscopic ablative therapy for Barrett’s-related high-grade dysplasia presents months later with a residual, focal, refractory area at the esophagogastric junction that did not respond to repeat endoscopic therapies. The team performs a percutaneous endoscopic destruction procedure targeting the residual diseased tissue to eradicate the remaining abnormal mucosa and reduce progression risk. Typical codes: 0D543Z3, 0D543ZZ

Related Codes

0D51-ESOPHAGUS-UPPER-DESTRUCTION

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

0D52-ESOPHAGUS-MIDDLE-DESTRUCTION

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

0D53-ESOPHAGUS-LOWER-DESTRUCTION

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

0D55-ESOPHAGUS-DESTRUCTION

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

0D56-STOMACH-DESTRUCTION

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

0D57-STOMACH-PYLORUS-DESTRUCTION

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

0D58-SMALL-INTESTINE-DESTRUCTION

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

0D59-DUODENUM-DESTRUCTION

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

0D5A-JEJUNUM-DESTRUCTION

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

0D5B-ILEUM-DESTRUCTION

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

Showing 1–10 of 26

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

8 rows

ICD-10-PCS Code	Description
0D540Z3	Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Open Approach
0D540ZZ	Destruction of Esophagogastric Junction, Open Approach
0D543Z3	Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Approach
0D543ZZ	Destruction of Esophagogastric Junction, Percutaneous Approach
0D544Z3	Destruction of Esophagogastric Junction using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
0D544ZZ	Destruction of Esophagogastric Junction, Percutaneous Endoscopic Approach
0D547ZZ	Destruction of Esophagogastric Junction, Via Natural or Artificial Opening
0D548ZZ	Destruction of Esophagogastric Junction, Via Natural or Artificial Opening Endoscopic

DRG Codes

12 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
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with long-standing gastroesophageal reflux disease presents acutely with progressive dysphagia and weight loss; endoscopy reveals an ulcerated, circumferential lesion at the esophagogastric junction suspicious for high-grade dysplasia or early carcinoma. The surgical team admits the patient for a planned inpatient endoscopic and interventional treatment to eradicate the diseased mucosa at the gastroesophageal junction to control local disease and obtain tissue for staging. Typical codes: 0D544Z3, 0D544ZZ
A middle-aged patient with recurrent bleeding from a bleeding Dieulafoy lesion located at the esophagogastric junction fails endoscopic hemostasis during an emergency endoscopy and continues to have hemodynamic instability. The patient is taken to the operating room for definitive destruction of the bleeding focal lesion at the esophagogastric junction to control hemorrhage and allow stabilization. Typical codes: 0D540Z3, 0D540ZZ
A patient with prior endoscopic ablative therapy for Barrett’s-related high-grade dysplasia presents months later with a residual, focal, refractory area at the esophagogastric junction that did not respond to repeat endoscopic therapies. The team performs a percutaneous endoscopic destruction procedure targeting the residual diseased tissue to eradicate the remaining abnormal mucosa and reduce progression risk. Typical codes: 0D543Z3, 0D543ZZ

Related Codes

0D51-ESOPHAGUS-UPPER-DESTRUCTION

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

0D52-ESOPHAGUS-MIDDLE-DESTRUCTION

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

0D53-ESOPHAGUS-LOWER-DESTRUCTION

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

0D55-ESOPHAGUS-DESTRUCTION

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

0D56-STOMACH-DESTRUCTION

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

0D57-STOMACH-PYLORUS-DESTRUCTION

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

0D58-SMALL-INTESTINE-DESTRUCTION

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

0D59-DUODENUM-DESTRUCTION

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

0D5A-JEJUNUM-DESTRUCTION

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

0D5B-ILEUM-DESTRUCTION

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

Showing 1–10 of 26

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 Esophagogastric Junction: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview policy alerts

Esophagogastric Junction Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview policy alerts

Esophagogastric Junction Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers destruction procedures of the esophagogastric junction?

What operation and body system attributes define the 0D54 code group?

What specific codes are included in the 0D54 group and how do they differ by approach or technique?

Why is accurate coding within ICD-10-PCS 0D54 important for inpatient documentation?

Which DRG categories may be related to procedures coded in the 0D54 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers destruction procedures of the esophagogastric junction?

What operation and body system attributes define the 0D54 code group?

What specific codes are included in the 0D54 group and how do they differ by approach or technique?

Why is accurate coding within ICD-10-PCS 0D54 important for inpatient documentation?

Which DRG categories may be related to procedures coded in the 0D54 group?

References