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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DF5 includes procedures performed to fragment solid matter in the esophagus. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs an operation to break up impacted or obstructing material within the esophagus to relieve obstruction or allow removal. Accurate coding within the ICD-10-PCS 0DF5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Esophagus Fragmentation Procedure Overview

This group includes procedures that fragment solid matter within the esophagus and are performed on the gastrointestinal system. These procedures involve breaking impacted or obstructing solid material into smaller pieces to relieve obstruction or facilitate removal. Accurate coding of these fragmentation procedures is important for inpatient reimbursement because it documents the exact operation, supports clinical records, and determines appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
F	Operation	Fragmentation
5	Body Part	Esophagus

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

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Esophagus Fragmentation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
F	Operation	Fragmentation
5	Body Part	Esophagus

When to Use

Use a code from this group when an operation is performed to fragment impacted or obstructing solid material within the esophagus during an inpatient encounter. Codes in this group apply when the primary intent of the procedure is fragmentation rather than removal, dilation, or repair.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0DF50ZZ	Fragmentation in Esophagus, Open Approach
0DF53ZZ	Fragmentation in Esophagus, Percutaneous Approach
0DF54ZZ	Fragmentation in Esophagus, Percutaneous Endoscopic Approach
0DF57ZZ	Fragmentation in Esophagus, Via Natural or Artificial Opening
0DF58ZZ	Fragmentation in Esophagus, Via Natural or Artificial Opening Endoscopic
0DF5XZZ	Fragmentation in Esophagus, External Approach

DRG Codes

6 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly patient presents to the emergency department with acute onset dysphagia, drooling, and inability to tolerate oral secretions after swallowing a poorly chewed piece of meat. Imaging and endoscopy confirm an impacted food bolus lodged in the mid-esophagus causing near-complete obstruction; the team performs an endoscopic fragmentation of the bolus to relieve the obstruction and allow clearance. The primary intent is to break the solid material into smaller pieces to facilitate removal and restore luminal patency. Typical codes: 0DF58ZZ
A patient with longstanding esophageal strictures from radiotherapy undergoes a planned inpatient endoscopic procedure after failed outpatient attempts to manage recurrent food impactions. During the scheduled admission, the endoscopist uses endoscopic instruments to fragment impacted food and debris within the esophagus to enable safe retrieval and to reduce risk of recurrent obstruction. The procedure is performed electively with the intent of fragmentation as the primary action. Typical codes: 0DF54ZZ
A hospitalized patient develops an obstruction from an encrusted medication bezoar adherent to the distal esophagus after prolonged nasogastric tube feeds. Because the bezoar cannot be removed intact and prior attempts at retrieval risk mucosal injury, an open fragmentation procedure is performed to break the solid mass into pieces for controlled removal and to address associated mucosal compromise. The main goal of the operation is fragmentation of the solid material in the esophagus to relieve obstruction and permit clearance. Typical codes: 0DF50ZZ

Related Codes

0DF6-STOMACH-FRAGMENTATION

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

0DF8-SMALL-INTESTINE-FRAGMENTATION

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

0DF9-DUODENUM-FRAGMENTATION

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

0DFA-JEJUNUM-FRAGMENTATION

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

0DFB-ILEUM-FRAGMENTATION

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

0DFE-LARGE-INTESTINE-FRAGMENTATION

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

0DFF-LARGE-INTESTINE-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Right: Procedure Code Group Overview

0DFG-LARGE-INTESTINE-LEFT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Left: Procedure Code Group Overview

0DFH-CECUM-FRAGMENTATION

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

0DFJ-APPENDIX-FRAGMENTATION

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

Showing 1–10 of 16

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

6 rows

ICD-10-PCS Code	Description
0DF50ZZ	Fragmentation in Esophagus, Open Approach
0DF53ZZ	Fragmentation in Esophagus, Percutaneous Approach
0DF54ZZ	Fragmentation in Esophagus, Percutaneous Endoscopic Approach
0DF57ZZ	Fragmentation in Esophagus, Via Natural or Artificial Opening
0DF58ZZ	Fragmentation in Esophagus, Via Natural or Artificial Opening Endoscopic
0DF5XZZ	Fragmentation in Esophagus, External Approach

DRG Codes

6 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly patient presents to the emergency department with acute onset dysphagia, drooling, and inability to tolerate oral secretions after swallowing a poorly chewed piece of meat. Imaging and endoscopy confirm an impacted food bolus lodged in the mid-esophagus causing near-complete obstruction; the team performs an endoscopic fragmentation of the bolus to relieve the obstruction and allow clearance. The primary intent is to break the solid material into smaller pieces to facilitate removal and restore luminal patency. Typical codes: 0DF58ZZ
A patient with longstanding esophageal strictures from radiotherapy undergoes a planned inpatient endoscopic procedure after failed outpatient attempts to manage recurrent food impactions. During the scheduled admission, the endoscopist uses endoscopic instruments to fragment impacted food and debris within the esophagus to enable safe retrieval and to reduce risk of recurrent obstruction. The procedure is performed electively with the intent of fragmentation as the primary action. Typical codes: 0DF54ZZ
A hospitalized patient develops an obstruction from an encrusted medication bezoar adherent to the distal esophagus after prolonged nasogastric tube feeds. Because the bezoar cannot be removed intact and prior attempts at retrieval risk mucosal injury, an open fragmentation procedure is performed to break the solid mass into pieces for controlled removal and to address associated mucosal compromise. The main goal of the operation is fragmentation of the solid material in the esophagus to relieve obstruction and permit clearance. Typical codes: 0DF50ZZ

Related Codes

0DF6-STOMACH-FRAGMENTATION

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

0DF8-SMALL-INTESTINE-FRAGMENTATION

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

0DF9-DUODENUM-FRAGMENTATION

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

0DFA-JEJUNUM-FRAGMENTATION

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

0DFB-ILEUM-FRAGMENTATION

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

0DFE-LARGE-INTESTINE-FRAGMENTATION

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

0DFF-LARGE-INTESTINE-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Right: Procedure Code Group Overview

0DFG-LARGE-INTESTINE-LEFT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Left: Procedure Code Group Overview

0DFH-CECUM-FRAGMENTATION

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

0DFJ-APPENDIX-FRAGMENTATION

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

Showing 1–10 of 16

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: Procedure Code Group Overview

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

Esophagus Fragmentation Procedure Overview

Code Attributes

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

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

Esophagus Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0DF5 code group?

What is the primary purpose of procedures coded to 0DF5?

Under which ICD-10-PCS section and body system do these codes fall?

How does accurate coding in the 0DF5 group impact inpatient reimbursement?

Which DRGs may be related when coding a fragmentation procedure in the esophagus?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0DF5 code group?

What is the primary purpose of procedures coded to 0DF5?

Under which ICD-10-PCS section and body system do these codes fall?

How does accurate coding in the 0DF5 group impact inpatient reimbursement?

Which DRGs may be related when coding a fragmentation procedure in the esophagus?

References