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 DD20 includes procedures performed to stereotactically irradiate tissues in the esophagus. These ICD-10-PCS codes are used for inpatient documentation when focused radiation therapy is delivered to esophageal lesions or tumors using stereotactic techniques. Accurate coding within the ICD-10-PCS DD20 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Esophagus Stereotactic Radiosurgery Procedure Overview

This procedure group includes stereotactic radiosurgery procedures directed at the esophagus within the gastrointestinal system. These procedures deliver highly focused radiation to esophageal tissues to treat lesions or tumors while minimizing dose to surrounding structures. Accurate ICD-10-PCS coding ensures inpatient records reflect the precise operation and supports appropriate reimbursement and case-mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
D	Body System	Gastrointestinal System
2	Operation	Stereotactic Radiosurgery
0	Body Part	Esophagus

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

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Esophagus Stereotactic Radiosurgery Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
D	Body System	Gastrointestinal System
2	Operation	Stereotactic Radiosurgery
0	Body Part	Esophagus

When to Use

Use a code from this group when stereotactic radiosurgery is performed on the esophagus to treat a lesion, tumor, or other localized pathology. Assign these codes when the medical record documents focused, image-guided radiation delivery to the esophagus during the inpatient encounter.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
DD20DZZ	Stereotactic Other Photon Radiosurgery of Esophagus
DD20HZZ	Stereotactic Particulate Radiosurgery of Esophagus
DD20JZZ	Stereotactic Gamma Beam Radiosurgery of Esophagus

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a solitary, biopsy-proven early-stage squamous cell carcinoma of the mid-esophagus presents for inpatient stereotactic, image-guided high-dose photon radiation after multidisciplinary review determined the lesion is amenable to focused radiosurgery because of comorbidities that preclude surgical resection. The patient is admitted for the procedure and short-term observation given the need for anesthesia and precise immobilization. A stereotactic photon beam technique is used to deliver conformal high-dose radiation to the esophageal tumor while sparing adjacent structures. Typical codes: DD20DZZ
A middle-aged patient with a previously irradiated esophageal metastatic deposit presents acutely with progressive dysphagia and localized tumor progression identified on imaging; the tumor board recommends stereotactic particulate radiosurgery to achieve rapid local control while minimizing additional dose to surrounding tissue. The patient is admitted for tightly targeted particle radiation under image guidance to palliate obstruction and reduce tumor burden. Hospitalization is for treatment delivery and monitoring for immediate postprocedure complications. Typical codes: DD20HZZ
A patient with a recurrent, well-demarcated esophageal lesion near prior treatment fields who previously underwent external beam therapy is scheduled for stereotactic gamma beam radiosurgery as a salvage procedure to treat the localized recurrence with maximal precision and limited additional collateral dose. The admission is for the focused gamma-ray stereotactic session with necessary preprocedure imaging and sedation, given the lesion's proximity to critical structures and prior radiation exposure. This approach aims to achieve local control where surgery is not feasible. Typical codes: DD20JZZ

Related Codes

DD21-STOMACH-STEREOTACTIC-RADIOSURGERY

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

DD22-DUODENUM-STEREOTACTIC-RADIOSURGERY

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

DD23-JEJUNUM-STEREOTACTIC-RADIOSURGERY

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

DD24-ILEUM-REVISION-ILEUM-STEREOTACTIC-RADIOSURGERY

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

DD25-COLON-STEREOTACTIC-RADIOSURGERY

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

DD27-RECTUM-STEREOTACTIC-RADIOSURGERY

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

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

3 rows

ICD-10-PCS Code	Description
DD20DZZ	Stereotactic Other Photon Radiosurgery of Esophagus
DD20HZZ	Stereotactic Particulate Radiosurgery of Esophagus
DD20JZZ	Stereotactic Gamma Beam Radiosurgery of Esophagus

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a solitary, biopsy-proven early-stage squamous cell carcinoma of the mid-esophagus presents for inpatient stereotactic, image-guided high-dose photon radiation after multidisciplinary review determined the lesion is amenable to focused radiosurgery because of comorbidities that preclude surgical resection. The patient is admitted for the procedure and short-term observation given the need for anesthesia and precise immobilization. A stereotactic photon beam technique is used to deliver conformal high-dose radiation to the esophageal tumor while sparing adjacent structures. Typical codes: DD20DZZ
A middle-aged patient with a previously irradiated esophageal metastatic deposit presents acutely with progressive dysphagia and localized tumor progression identified on imaging; the tumor board recommends stereotactic particulate radiosurgery to achieve rapid local control while minimizing additional dose to surrounding tissue. The patient is admitted for tightly targeted particle radiation under image guidance to palliate obstruction and reduce tumor burden. Hospitalization is for treatment delivery and monitoring for immediate postprocedure complications. Typical codes: DD20HZZ
A patient with a recurrent, well-demarcated esophageal lesion near prior treatment fields who previously underwent external beam therapy is scheduled for stereotactic gamma beam radiosurgery as a salvage procedure to treat the localized recurrence with maximal precision and limited additional collateral dose. The admission is for the focused gamma-ray stereotactic session with necessary preprocedure imaging and sedation, given the lesion's proximity to critical structures and prior radiation exposure. This approach aims to achieve local control where surgery is not feasible. Typical codes: DD20JZZ

Related Codes

DD21-STOMACH-STEREOTACTIC-RADIOSURGERY

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

DD22-DUODENUM-STEREOTACTIC-RADIOSURGERY

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

DD23-JEJUNUM-STEREOTACTIC-RADIOSURGERY

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

DD24-ILEUM-REVISION-ILEUM-STEREOTACTIC-RADIOSURGERY

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

DD25-COLON-STEREOTACTIC-RADIOSURGERY

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

DD27-RECTUM-STEREOTACTIC-RADIOSURGERY

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

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 Stereotactic Radiosurgery 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 Stereotactic Radiosurgery Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group DD20 describe?

What specific ICD-10-PCS codes are included in the DD20 group?

In what documentation setting are DD20 procedures coded?

Why is accurate coding of the DD20 code group important for reimbursement?

Which DRG groupings are listed as related to DD20 procedures?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group DD20 describe?

What specific ICD-10-PCS codes are included in the DD20 group?

In what documentation setting are DD20 procedures coded?

Why is accurate coding of the DD20 code group important for reimbursement?

Which DRG groupings are listed as related to DD20 procedures?

References