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 0DL4 includes procedures performed to occlude lumens in the esophagogastric junction. These ICD-10-PCS codes are used for inpatient documentation when a complete closure of the esophagogastric junction lumen is performed for clinical indications such as hemorrhage control, severe reflux, or diversion. Accurate coding within the ICD-10-PCS 0DL4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Esophagogastric Junction Occlusion Procedure Overview

Procedures in the ICD-10 PCS 0DL4 group involve completely closing the lumen of the esophagogastric junction within the gastrointestinal system. These occlusion procedures target the esophagogastric junction to stop flow through the tubular lumen for clinical indications such as severe reflux control, hemorrhage control, or diversion. Accurate coding of these occlusion procedures impacts inpatient reimbursement by capturing the specific root operation and anatomical site, which affects case mix and payment.

Code Attributes

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

When to Use

Use a code from this group when the clinical procedure results in complete closure of the esophagogastric junction lumen. Select the specific code when documentation confirms occlusion as the intended and achieved root operation.

ICD-10-PCS Codes

13 rows

ICD-10-PCS Code	Description
0DL40CZ	Occlusion of Esophagogastric Junction with Extraluminal Device, Open Approach
0DL40DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Open Approach
0DL40ZZ	Occlusion of Esophagogastric Junction, Open Approach
0DL43CZ	Occlusion of Esophagogastric Junction with Extraluminal Device, Percutaneous Approach
0DL43DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Percutaneous Approach
0DL43ZZ	Occlusion of Esophagogastric Junction, Percutaneous Approach
0DL44CZ	Occlusion of Esophagogastric Junction with Extraluminal Device, Percutaneous Endoscopic Approach
0DL44DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Percutaneous Endoscopic Approach
0DL44ZZ	Occlusion of Esophagogastric Junction, Percutaneous Endoscopic Approach
0DL47DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the emergency department with massive upper gastrointestinal bleeding from the esophagogastric junction unresponsive to endoscopic hemostasis, requiring an inpatient procedure to completely occlude the lumen to control hemorrhage and prevent further blood loss; this is performed urgently via an open or percutaneous route when less invasive measures fail. Typical codes: 0DL40DZ, 0DL43DZ
A middle-aged patient with severe, refractory gastroesophageal reflux disease and recurrent aspiration undergoes a planned inpatient surgical diversion to permanently close the esophagogastric junction lumen to eliminate reflux and protect the airway; the elective procedure may be done via a percutaneous endoscopic or natural orifice approach depending on anatomy and surgeon preference. Typical codes: 0DL44ZZ, 0DL47ZZ
A postoperative patient with anastomotic breakdown at the esophagogastric junction develops uncontrollable leakage and mediastinal contamination, necessitating a definitive occlusion of the junction lumen as a salvage procedure to divert foregut contents and manage sepsis; this urgent intervention is often performed percutaneously or via endoscopic natural orifice techniques using intraluminal devices when feasible. Typical codes: 0DL43DZ, 0DL48DZ

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

0DL3-ESOPHAGUS-LOWER-OCCLUSION

ICD-10-PCS Code For Esophagus Lower: 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
0DL40CZ	Occlusion of Esophagogastric Junction with Extraluminal Device, Open Approach
0DL40DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Open Approach
0DL40ZZ	Occlusion of Esophagogastric Junction, Open Approach
0DL43CZ	Occlusion of Esophagogastric Junction with Extraluminal Device, Percutaneous Approach
0DL43DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Percutaneous Approach
0DL43ZZ	Occlusion of Esophagogastric Junction, Percutaneous Approach
0DL44CZ	Occlusion of Esophagogastric Junction with Extraluminal Device, Percutaneous Endoscopic Approach
0DL44DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Percutaneous Endoscopic Approach
0DL44ZZ	Occlusion of Esophagogastric Junction, Percutaneous Endoscopic Approach
0DL47DZ	Occlusion of Esophagogastric Junction with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the emergency department with massive upper gastrointestinal bleeding from the esophagogastric junction unresponsive to endoscopic hemostasis, requiring an inpatient procedure to completely occlude the lumen to control hemorrhage and prevent further blood loss; this is performed urgently via an open or percutaneous route when less invasive measures fail. Typical codes: 0DL40DZ, 0DL43DZ
A middle-aged patient with severe, refractory gastroesophageal reflux disease and recurrent aspiration undergoes a planned inpatient surgical diversion to permanently close the esophagogastric junction lumen to eliminate reflux and protect the airway; the elective procedure may be done via a percutaneous endoscopic or natural orifice approach depending on anatomy and surgeon preference. Typical codes: 0DL44ZZ, 0DL47ZZ
A postoperative patient with anastomotic breakdown at the esophagogastric junction develops uncontrollable leakage and mediastinal contamination, necessitating a definitive occlusion of the junction lumen as a salvage procedure to divert foregut contents and manage sepsis; this urgent intervention is often performed percutaneously or via endoscopic natural orifice techniques using intraluminal devices when feasible. Typical codes: 0DL43DZ, 0DL48DZ

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

0DL3-ESOPHAGUS-LOWER-OCCLUSION

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

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

Esophagogastric Junction Occlusion 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 Occlusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0DL4 code group?

What is the clinical intent of procedures coded to 0DL4?

What ICD-10-PCS attributes define the 0DL4 group?

How does accurate coding in 0DL4 affect billing and payment?

What are examples of specific codes in the 0DL4 group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0DL4 code group?

What is the clinical intent of procedures coded to 0DL4?

What ICD-10-PCS attributes define the 0DL4 group?

How does accurate coding in 0DL4 affect billing and payment?

What are examples of specific codes in the 0DL4 group?

References