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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DL9 includes procedures performed to occlude lumens or orifices in the duodenum. These ICD-10-PCS codes are used for inpatient documentation when a clinician completely closes the duodenal lumen or orifice for therapeutic or protective purposes. Accurate coding within the ICD-10-PCS 0DL9 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Duodenum Occlusion Procedure Overview

Procedures in this group involve completely closing the lumen or an orifice of the duodenum and are classified in the Medical and Surgical section targeting the gastrointestinal system. These occlusion procedures typically use devices or techniques to stop flow within the duodenal lumen for therapeutic reasons. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the exact operation, supports clinical record completeness, and determines appropriate case mix payment.

Code Attributes

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

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

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Duodenum 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
9	Body Part	Duodenum

When to Use

Use a code from this group when the procedure performed completely closes the lumen or orifice of the duodenum. These codes are selected when documentation indicates an occlusion was accomplished and is the primary objective of the procedure.

ICD-10-PCS Codes

13 rows

ICD-10-PCS Code	Description
0DL90CZ	Occlusion of Duodenum with Extraluminal Device, Open Approach
0DL90DZ	Occlusion of Duodenum with Intraluminal Device, Open Approach
0DL90ZZ	Occlusion of Duodenum, Open Approach
0DL93CZ	Occlusion of Duodenum with Extraluminal Device, Percutaneous Approach
0DL93DZ	Occlusion of Duodenum with Intraluminal Device, Percutaneous Approach
0DL93ZZ	Occlusion of Duodenum, Percutaneous Approach
0DL94CZ	Occlusion of Duodenum with Extraluminal Device, Percutaneous Endoscopic Approach
0DL94DZ	Occlusion of Duodenum with Intraluminal Device, Percutaneous Endoscopic Approach
0DL94ZZ	Occlusion of Duodenum, Percutaneous Endoscopic Approach
0DL97DZ	Occlusion of Duodenum with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

DRG Codes

6 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient presents to the emergency department with massive upper gastrointestinal bleeding from a duodenal diverticulum that cannot be controlled endoscopically. After stabilization and diagnostic confirmation that the bleeding source is the duodenum, the surgical team performs an open operation to completely close the duodenal lumen at the affected segment to stop hemorrhage and protect the proximal stomach. The primary intent is occlusion of the duodenal lumen using an extraluminal device during an open approach to control life‑threatening bleeding. Typical codes: 0DL90CZ
A middle‑aged patient with chronic biliary reflux and recurrent aspiration due to an intractable duodenal fistula is scheduled for a planned operative procedure to permanently occlude the duodenal lumen distal to the stomach. The elective operation is performed percutaneously with placement of an intraluminal occlusive device to isolate the duodenum and prevent further fistula output. The goal is definitive closure of the duodenal lumen via a percutaneous approach using an intraluminal device. Typical codes: 0DL93DZ
A patient who previously underwent endoscopic therapy for a malignant duodenal obstruction develops recurrent obstruction and device migration with return of symptoms. During an endoscopic revision, the team removes the migrated device and performs repeat occlusion of the duodenal lumen endoscopically to reestablish complete closure and palliate obstructive symptoms. This represents a revision of a prior occlusion using a natural or artificial opening endoscopic approach with an intraluminal device. Typical codes: 0DL98DZ

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

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

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
0DL90CZ	Occlusion of Duodenum with Extraluminal Device, Open Approach
0DL90DZ	Occlusion of Duodenum with Intraluminal Device, Open Approach
0DL90ZZ	Occlusion of Duodenum, Open Approach
0DL93CZ	Occlusion of Duodenum with Extraluminal Device, Percutaneous Approach
0DL93DZ	Occlusion of Duodenum with Intraluminal Device, Percutaneous Approach
0DL93ZZ	Occlusion of Duodenum, Percutaneous Approach
0DL94CZ	Occlusion of Duodenum with Extraluminal Device, Percutaneous Endoscopic Approach
0DL94DZ	Occlusion of Duodenum with Intraluminal Device, Percutaneous Endoscopic Approach
0DL94ZZ	Occlusion of Duodenum, Percutaneous Endoscopic Approach
0DL97DZ	Occlusion of Duodenum with Intraluminal Device, Via Natural or Artificial Opening

Showing 1–10 of 13

DRG Codes

6 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient presents to the emergency department with massive upper gastrointestinal bleeding from a duodenal diverticulum that cannot be controlled endoscopically. After stabilization and diagnostic confirmation that the bleeding source is the duodenum, the surgical team performs an open operation to completely close the duodenal lumen at the affected segment to stop hemorrhage and protect the proximal stomach. The primary intent is occlusion of the duodenal lumen using an extraluminal device during an open approach to control life‑threatening bleeding. Typical codes: 0DL90CZ
A middle‑aged patient with chronic biliary reflux and recurrent aspiration due to an intractable duodenal fistula is scheduled for a planned operative procedure to permanently occlude the duodenal lumen distal to the stomach. The elective operation is performed percutaneously with placement of an intraluminal occlusive device to isolate the duodenum and prevent further fistula output. The goal is definitive closure of the duodenal lumen via a percutaneous approach using an intraluminal device. Typical codes: 0DL93DZ
A patient who previously underwent endoscopic therapy for a malignant duodenal obstruction develops recurrent obstruction and device migration with return of symptoms. During an endoscopic revision, the team removes the migrated device and performs repeat occlusion of the duodenal lumen endoscopically to reestablish complete closure and palliate obstructive symptoms. This represents a revision of a prior occlusion using a natural or artificial opening endoscopic approach with an intraluminal device. Typical codes: 0DL98DZ

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

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

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 Duodenum: Procedure Code Group Overview

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

Duodenum Occlusion Procedure Overview

Code Attributes

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

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

Duodenum Occlusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0DL9?

What is the clinical intent captured by the 0DL9 codes?

What code attributes define the 0DL9 procedure group?

How do approach and device choices affect code selection within 0DL9?

How are related DRGs linked to the 0DL9 procedures?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0DL9?

What is the clinical intent captured by the 0DL9 codes?

What code attributes define the 0DL9 procedure group?

How do approach and device choices affect code selection within 0DL9?

How are related DRGs linked to the 0DL9 procedures?

References