ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XDJ0 includes procedures performed to inspect mucosal surfaces and luminal structures in the upper intestinal tract. These ICD-10-PCS codes are used for inpatient documentation when an ingestible capsule with a light absorption sensor is used to visualize the upper intestinal tract via a natural or artificial opening. Accurate coding within the ICD-10-PCS XDJ0 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Upper Intestinal Tract Inspection Procedure Overview

This procedure group includes inspection procedures performed on the upper intestinal tract using ingestible capsule technology and light absorption sensors. These procedures target the gastrointestinal system and involve visually and/or manually exploring the mucosa and lumen of the upper intestinal tract. Accurate ICD-10-PCS coding ensures inpatient records reflect the specific inspection performed and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
D	Body System	Gastrointestinal System
J	Operation	Inspection
0	Body Part	Upper Intestinal Tract

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ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

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Upper Intestinal Tract Inspection Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
D	Body System	Gastrointestinal System
J	Operation	Inspection
0	Body Part	Upper Intestinal Tract

When to Use

Use codes from this group when an ingestible capsule with a light absorption sensor is used to visualize the upper intestinal tract during an inpatient encounter. These codes apply when the primary action is inspection of the upper intestinal tract via a natural or artificial opening.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
XDJ07LB	Inspection of Upper Intestinal Tract using Ingestible Capsule with Light Absorption Sensor, Via Natural or Artificial Opening, New Technology Group 11

Typical Clinical Scenarios

An elderly patient hospitalized for unexplained iron-deficiency anemia and melena undergoes inpatient evaluation after non-diagnostic upper endoscopy and colonoscopy; clinicians suspect intermittent bleeding in the proximal small bowel and use an ingestible capsule with a light absorption sensor to inspect the upper intestinal tract for obscure sources of bleeding. Typical codes: XDJ07LB
A middle-aged patient admitted electively for investigation of persistent dyspepsia and weight loss following inconclusive outpatient imaging and unable to tolerate repeat sedated endoscopy; inpatient diagnostic workup includes deployment of an ingestible capsule with a light absorption sensor to visualize the mucosa of the upper intestinal tract. Typical codes: XDJ07LB
A hospitalized patient with prior gastric surgery and ongoing unexplained upper GI symptoms where altered anatomy limits standard endoscopic reach; to assess mucosal integrity and identify anastomotic or post-operative complications, an ingestible capsule with a light absorption sensor is used to inspect the upper intestinal tract. Typical codes: XDJ07LB

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

1 rows

ICD-10-PCS Code	Description
XDJ07LB	Inspection of Upper Intestinal Tract using Ingestible Capsule with Light Absorption Sensor, Via Natural or Artificial Opening, New Technology Group 11

Typical Clinical Scenarios

An elderly patient hospitalized for unexplained iron-deficiency anemia and melena undergoes inpatient evaluation after non-diagnostic upper endoscopy and colonoscopy; clinicians suspect intermittent bleeding in the proximal small bowel and use an ingestible capsule with a light absorption sensor to inspect the upper intestinal tract for obscure sources of bleeding. Typical codes: XDJ07LB
A middle-aged patient admitted electively for investigation of persistent dyspepsia and weight loss following inconclusive outpatient imaging and unable to tolerate repeat sedated endoscopy; inpatient diagnostic workup includes deployment of an ingestible capsule with a light absorption sensor to visualize the mucosa of the upper intestinal tract. Typical codes: XDJ07LB
A hospitalized patient with prior gastric surgery and ongoing unexplained upper GI symptoms where altered anatomy limits standard endoscopic reach; to assess mucosal integrity and identify anastomotic or post-operative complications, an ingestible capsule with a light absorption sensor is used to inspect the upper intestinal tract. Typical codes: XDJ07LB

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 Upper Intestinal Tract: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview policy alerts

Upper Intestinal Tract Inspection Procedure Overview

Code Attributes

ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview policy alerts

Upper Intestinal Tract Inspection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

What procedure types are included in the ICD-10-PCS XDJ0 code group?

Which specific code is listed for this procedure group?

What are the ICD-10-PCS attributes for these procedures?

Why is accurate coding within the XDJ0 group important?

In what clinical context are these ICD-10-PCS codes used?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

What procedure types are included in the ICD-10-PCS XDJ0 code group?

Which specific code is listed for this procedure group?

What are the ICD-10-PCS attributes for these procedures?

Why is accurate coding within the XDJ0 group important?

In what clinical context are these ICD-10-PCS codes used?

References