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 0DL5 includes procedures performed to completely close an orifice or the lumen in the esophagus. These ICD-10-PCS codes are used for inpatient documentation when a clinician needs to permanently or temporarily occlude the esophageal lumen or orifice to stop flow or seal the tract. Accurate coding within the ICD-10-PCS 0DL5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Esophagus Occlusion Procedure Overview

This procedure group covers inpatient occlusion procedures performed on the esophagus within the gastrointestinal system. These procedures involve completely closing an orifice or the lumen of the esophagus to stop flow or seal a passage. Accurate coding of these occlusion procedures is important for reflecting the clinical intervention in the medical record and for determining appropriate inpatient reimbursement.

Code Attributes

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

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

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Esophagus 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
5	Body Part	Esophagus

When to Use

Use a code from this group when the clinical intervention involves completely closing the esophageal lumen or an esophageal orifice as the intended outcome. These codes apply when occlusion is performed to prevent passage of contents, control leakage, or seal a tract during inpatient care.

ICD-10-PCS Codes

13 rows

ICD-10-PCS Code	Description
0DL50CZ	Occlusion of Esophagus with Extraluminal Device, Open Approach
0DL50DZ	Occlusion of Esophagus with Intraluminal Device, Open Approach
0DL50ZZ	Occlusion of Esophagus, Open Approach
0DL53CZ	Occlusion of Esophagus with Extraluminal Device, Percutaneous Approach
0DL53DZ	Occlusion of Esophagus with Intraluminal Device, Percutaneous Approach
0DL53ZZ	Occlusion of Esophagus, Percutaneous Approach
0DL54CZ	Occlusion of Esophagus with Extraluminal Device, Percutaneous Endoscopic Approach
0DL54DZ	Occlusion of Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach
0DL54ZZ	Occlusion of Esophagus, Percutaneous Endoscopic Approach
0DL57DZ	Occlusion of Esophagus with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient presents with recurrent aspiration and severe gastroesophageal reflux disease refractory to medical therapy. Because the esophageal lumen must be permanently sealed to prevent ongoing aspiration and protect the airway, an open surgical occlusion of the esophagus with placement of an extraluminal occlusive device is performed during the inpatient admission. The goal is complete closure of the esophageal lumen to stop passage of contents into the respiratory tract. Typical codes: 0DL50CZ
A middle-aged patient is admitted emergently with a large esophageal-perforation-related fistula and uncontrolled mediastinal contamination. To control ongoing leakage and sepsis, a percutaneous occlusion of the esophageal lumen is performed using an intraluminal device to immediately stop flow through the injured segment. The procedure is performed in the inpatient setting for source control and stabilization. Typical codes: 0DL53DZ
A patient with a previous endoscopic stent placement for malignant esophageal obstruction returns with stent migration and persistent fistula to the airway. As a revision during the inpatient stay, an endoscopic occlusion of the esophagus via natural or artificial opening is performed using an intraluminal device to seal the tract and prevent further pulmonary contamination. This procedure addresses the complication of prior intervention and aims to re-establish separation of the gastrointestinal and respiratory tracts. Typical codes: 0DL57DZ, 0DL58DZ

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

0DL4-ESOPHAGOGASTRIC-JUNCTION-OCCLUSION

ICD-10-PCS Code For Esophagogastric Junction: 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
0DL50CZ	Occlusion of Esophagus with Extraluminal Device, Open Approach
0DL50DZ	Occlusion of Esophagus with Intraluminal Device, Open Approach
0DL50ZZ	Occlusion of Esophagus, Open Approach
0DL53CZ	Occlusion of Esophagus with Extraluminal Device, Percutaneous Approach
0DL53DZ	Occlusion of Esophagus with Intraluminal Device, Percutaneous Approach
0DL53ZZ	Occlusion of Esophagus, Percutaneous Approach
0DL54CZ	Occlusion of Esophagus with Extraluminal Device, Percutaneous Endoscopic Approach
0DL54DZ	Occlusion of Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach
0DL54ZZ	Occlusion of Esophagus, Percutaneous Endoscopic Approach
0DL57DZ	Occlusion of Esophagus with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

Typical Clinical Scenarios

An elderly patient presents with recurrent aspiration and severe gastroesophageal reflux disease refractory to medical therapy. Because the esophageal lumen must be permanently sealed to prevent ongoing aspiration and protect the airway, an open surgical occlusion of the esophagus with placement of an extraluminal occlusive device is performed during the inpatient admission. The goal is complete closure of the esophageal lumen to stop passage of contents into the respiratory tract. Typical codes: 0DL50CZ
A middle-aged patient is admitted emergently with a large esophageal-perforation-related fistula and uncontrolled mediastinal contamination. To control ongoing leakage and sepsis, a percutaneous occlusion of the esophageal lumen is performed using an intraluminal device to immediately stop flow through the injured segment. The procedure is performed in the inpatient setting for source control and stabilization. Typical codes: 0DL53DZ
A patient with a previous endoscopic stent placement for malignant esophageal obstruction returns with stent migration and persistent fistula to the airway. As a revision during the inpatient stay, an endoscopic occlusion of the esophagus via natural or artificial opening is performed using an intraluminal device to seal the tract and prevent further pulmonary contamination. This procedure addresses the complication of prior intervention and aims to re-establish separation of the gastrointestinal and respiratory tracts. Typical codes: 0DL57DZ, 0DL58DZ

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

0DL4-ESOPHAGOGASTRIC-JUNCTION-OCCLUSION

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

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

Esophagus Occlusion 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 Occlusion 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 0DL5 code group for the esophagus?

What is the clinical intent represented by codes in the 0DL5 group?

Which code attributes define the 0DL5 code group?

How should coders use the 0DL5 codes for inpatient documentation and reimbursement?

Are there related DRGs listed for the 0DL5 esophagus occlusion codes?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 0DL5 code group for the esophagus?

What is the clinical intent represented by codes in the 0DL5 group?

Which code attributes define the 0DL5 code group?

How should coders use the 0DL5 codes for inpatient documentation and reimbursement?

Are there related DRGs listed for the 0DL5 esophagus occlusion codes?

References