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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DL3 includes procedures performed to completely close the lumen in the lower esophagus. These ICD-10-PCS codes are used for inpatient documentation when a clinician intentionally occludes the lower esophageal lumen to prevent passage of contents or for palliative or therapeutic control. Accurate coding within the ICD-10-PCS 0DL3 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Esophagus, Lower Occlusion Procedure Overview

This group includes procedures that completely close the lumen of the lower esophagus. These occlusion procedures target the gastrointestinal system and are performed to stop flow through the esophageal lumen for therapeutic reasons. Accurate ICD-10-PCS coding of these procedures is important for inpatient reimbursement because it documents the specific root operation and body part treated, which affects case mix and payment. Precise documentation also supports clinical records and quality reporting.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
L	Operation	Occlusion
3	Body Part	Esophagus, Lower

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

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Esophagus, Lower Occlusion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
L	Operation	Occlusion
3	Body Part	Esophagus, Lower

When to Use

Use a code from this group when the clinical intent is to completely close the lower esophageal lumen, such as to prevent passage of contents or for palliative control. These codes are assigned when the operative record documents an occlusion of the lower esophagus as the principal procedure performed.

ICD-10-PCS Codes

13 rows

ICD-10-PCS Code	Description
0DL30CZ	Occlusion of Lower Esophagus with Extraluminal Device, Open Approach
0DL30DZ	Occlusion of Lower Esophagus with Intraluminal Device, Open Approach
0DL30ZZ	Occlusion of Lower Esophagus, Open Approach
0DL33CZ	Occlusion of Lower Esophagus with Extraluminal Device, Percutaneous Approach
0DL33DZ	Occlusion of Lower Esophagus with Intraluminal Device, Percutaneous Approach
0DL33ZZ	Occlusion of Lower Esophagus, Percutaneous Approach
0DL34CZ	Occlusion of Lower Esophagus with Extraluminal Device, Percutaneous Endoscopic Approach
0DL34DZ	Occlusion of Lower Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach
0DL34ZZ	Occlusion of Lower Esophagus, Percutaneous Endoscopic Approach
0DL37DZ	Occlusion of Lower Esophagus with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient with advanced, unresectable distal esophageal cancer presents with progressive aspiration and recurrent pneumonia due to uncontrolled reflux and an incompetent lower esophageal segment; hospital admission is for palliative control of oral intake and aspiration risk by permanently occluding the lower esophageal lumen to prevent passage of secretions. Typical codes: 0DL34ZZ, 0DL33ZZ
A middle-aged trauma patient with severe caustic ingestion develops refractory lower esophageal fistula and ongoing contamination of the mediastinum despite prior repairs; after multidisciplinary discussion, inpatient surgical occlusion of the lower esophagus is performed via open approach to definitively close the lumen and control sepsis before staged reconstruction. Typical codes: 0DL30ZZ
A patient with a chronically failing esophagogastric anastomosis following esophagectomy has recurrent leak and inability to maintain nutrition; during a planned percutaneous endoscopic session the team places an intraluminal occlusive device to completely close the distal esophageal lumen temporarily as a bridge to further definitive surgery. Typical codes: 0DL34DZ, 0DL33DZ

Related Codes

0DL1-ESOPHAGUS-UPPER-OCCLUSION

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

0DL2-ESOPHAGUS-MIDDLE-CLOSURE-ESOPHAGUS-MIDDLE-OCCLUSION

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

0DL4-ESOPHAGOGASTRIC-JUNCTION-OCCLUSION

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

0DL5-ESOPHAGUS-OCCLUSION

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

0DL6-STOMACH-OCCLUSION

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

0DL7-STOMACH-PYLORUS-OCCLUSION

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

0DL8-SMALL-INTESTINE-OCCLUSION

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

0DL9-DUODENUM-OCCLUSION

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

0DLA-JEJUNUM-OCCLUSION

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

0DLB-ILEUM-OCCLUSION

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

Showing 1–10 of 21

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

13 rows

ICD-10-PCS Code	Description
0DL30CZ	Occlusion of Lower Esophagus with Extraluminal Device, Open Approach
0DL30DZ	Occlusion of Lower Esophagus with Intraluminal Device, Open Approach
0DL30ZZ	Occlusion of Lower Esophagus, Open Approach
0DL33CZ	Occlusion of Lower Esophagus with Extraluminal Device, Percutaneous Approach
0DL33DZ	Occlusion of Lower Esophagus with Intraluminal Device, Percutaneous Approach
0DL33ZZ	Occlusion of Lower Esophagus, Percutaneous Approach
0DL34CZ	Occlusion of Lower Esophagus with Extraluminal Device, Percutaneous Endoscopic Approach
0DL34DZ	Occlusion of Lower Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach
0DL34ZZ	Occlusion of Lower Esophagus, Percutaneous Endoscopic Approach
0DL37DZ	Occlusion of Lower Esophagus with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient with advanced, unresectable distal esophageal cancer presents with progressive aspiration and recurrent pneumonia due to uncontrolled reflux and an incompetent lower esophageal segment; hospital admission is for palliative control of oral intake and aspiration risk by permanently occluding the lower esophageal lumen to prevent passage of secretions. Typical codes: 0DL34ZZ, 0DL33ZZ
A middle-aged trauma patient with severe caustic ingestion develops refractory lower esophageal fistula and ongoing contamination of the mediastinum despite prior repairs; after multidisciplinary discussion, inpatient surgical occlusion of the lower esophagus is performed via open approach to definitively close the lumen and control sepsis before staged reconstruction. Typical codes: 0DL30ZZ
A patient with a chronically failing esophagogastric anastomosis following esophagectomy has recurrent leak and inability to maintain nutrition; during a planned percutaneous endoscopic session the team places an intraluminal occlusive device to completely close the distal esophageal lumen temporarily as a bridge to further definitive surgery. Typical codes: 0DL34DZ, 0DL33DZ

Related Codes

0DL1-ESOPHAGUS-UPPER-OCCLUSION

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

0DL2-ESOPHAGUS-MIDDLE-CLOSURE-ESOPHAGUS-MIDDLE-OCCLUSION

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

0DL4-ESOPHAGOGASTRIC-JUNCTION-OCCLUSION

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

0DL5-ESOPHAGUS-OCCLUSION

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

0DL6-STOMACH-OCCLUSION

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

0DL7-STOMACH-PYLORUS-OCCLUSION

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

0DL8-SMALL-INTESTINE-OCCLUSION

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

0DL9-DUODENUM-OCCLUSION

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

0DLA-JEJUNUM-OCCLUSION

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

0DLB-ILEUM-OCCLUSION

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

Showing 1–10 of 21

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 Lower: Procedure Code Group Overview

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

Esophagus, Lower Occlusion Procedure Overview

Code Attributes

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

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

Esophagus, Lower Occlusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are described by ICD-10-PCS code group 0DL3?

What is the clinical intent of procedures in the 0DL3 group?

How does accurate coding of 0DL3 procedures affect inpatient reimbursement?

What approaches and device options are reflected in the individual codes within 0DL3?

Where should documentation focus to support coding of a 0DL3 procedure?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are described by ICD-10-PCS code group 0DL3?

What is the clinical intent of procedures in the 0DL3 group?

How does accurate coding of 0DL3 procedures affect inpatient reimbursement?

What approaches and device options are reflected in the individual codes within 0DL3?

Where should documentation focus to support coding of a 0DL3 procedure?

References