ICD-10-PCS Code For Upper Gi: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XW0G includes procedures performed to introduce therapeutic, diagnostic, nutritional, physiological, or prophylactic substances into the upper gastrointestinal anatomical regions. These ICD-10-PCS codes are used for inpatient documentation when a substance is deliberately introduced into the upper gastrointestinal tract for treatment, diagnosis, nutrition, or physiological support. Accurate coding within the ICD-10-PCS XW0G group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Upper Gi Introduction Procedure Overview

This procedure group includes introduction procedures involving the upper gastrointestinal anatomical regions. These procedures involve placing therapeutic, diagnostic, nutritional, physiological, or prophylactic substances into the upper gastrointestinal tract. They target the anatomical regions of the upper gastrointestinal system and accurate coding ensures inpatient records reflect the procedure performed and support appropriate reimbursement. Precise ICD-10-PCS assignment also aids in clinical documentation and case-mix classification.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
W	Body System	Anatomical Regions
0	Operation	Introduction
G	Body Part	Upper GI

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ICD-10-PCS Code For Upper Gi: Procedure Code Group Overview

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Upper Gi Introduction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
W	Body System	Anatomical Regions
0	Operation	Introduction
G	Body Part	Upper GI

When to Use

Use a code from this group when a provider introduces a substance into the upper gastrointestinal tract during an inpatient encounter. These codes apply when the introduction is the primary objective of the procedure and must be documented in the operative or procedural report.

ICD-10-PCS Codes

5 rows

ICD-10-PCS Code	Description
XW0G738	Introduction of Maribavir Anti-infective into Upper GI, Via Natural or Artificial Opening, New Technology Group 8
XW0G7K8	Introduction of Sabizabulin into Upper GI, Via Natural or Artificial Opening, New Technology Group 8
XW0G7M6	Introduction of Baricitinib into Upper GI, Via Natural or Artificial Opening, New Technology Group 6
XW0G7R7	Introduction of Fostamatinib into Upper GI, Via Natural or Artificial Opening, New Technology Group 7
XW0G886	Introduction of Mineral-based Topical Hemostatic Agent into Upper GI, Via Natural or Artificial Opening Endoscopic, New Technology Group 6

Typical Clinical Scenarios

An older adult hospitalized with severe dysphagia due to esophageal motility disorder receives enteral administration of a therapeutic monoclonal antibody formulation into the upper gastrointestinal tract because oral ingestion is unsafe. The procedure is performed via the patient's existing orogastric tube to introduce the prescribed monoclonal antibody for treatment while monitoring tolerance and aspiration risk. The introduction targets the upper GI anatomical region and is performed as part of the inpatient treatment plan. Typical codes: XW0G7M6
A middle-aged patient admitted with acute upper GI bleeding and hemodynamic instability receives an endoscopy-guided topical hemostatic monoclonal antibody preparation applied directly to the bleeding site in the esophagus and proximal stomach. The endoscopic introduction of the hemostatic agent into the upper gastrointestinal tract is performed urgently to control hemorrhage and stabilize the patient for further care. Documentation specifies endoscopic approach to the upper GI region for topical therapeutic introduction. Typical codes: XW0G886
A hospitalized immunocompromised patient with documented systemic viral infection and impaired oral intake undergoes planned enteric delivery of an antiviral monoclonal antibody into the upper GI tract via a nasogastric tube because intravenous access is limited and the gastrointestinal route is selected to achieve localized mucosal effect. The procedure is performed to introduce the specified antiviral agent into the upper GI anatomy during the inpatient stay as part of the therapeutic regimen. Typical codes: XW0G738

Related Codes

XW00-SKIN-INTRODUCTION

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

XW01-SUBCUTANEOUS-TISSUE-INTRODUCTION

ICD-10-PCS Code For Subcutaneous Tissue: Procedure Code Group Overview

XW02-MUSCLE-INTRODUCTION

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

XW03-PERIPHERAL-VEIN-INTRODUCTION

ICD-10-PCS Code For Peripheral Vein: Procedure Code Group Overview

XW04-CENTRAL-VEIN-INTRODUCTION

ICD-10-PCS Code For Central Vein: Procedure Code Group Overview

XW05-PERIPHERAL-ARTERY-INTRODUCTION

ICD-10-PCS Code For Peripheral Artery: Procedure Code Group Overview

XW06-CEREBRAL-VENTRICLE-INTRODUCTION

ICD-10-PCS Code For Cerebral Ventricle: Procedure Code Group Overview

XW0D-MOUTH-AND-PHARYNX-INTRODUCTION

ICD-10-PCS Code For Mouth And Pharynx: Procedure Code Group Overview

XW0E-EAR-INTRODUCTION-EAR-S-INTRODUCTION

ICD-10-PCS Code For Ear(s): Procedure Code Group Overview

XW0H-LOWER-GI-INTRODUCTION

ICD-10-PCS Code For Lower GI: Procedure Code Group Overview

Showing 1–10 of 17

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

5 rows

ICD-10-PCS Code	Description
XW0G738	Introduction of Maribavir Anti-infective into Upper GI, Via Natural or Artificial Opening, New Technology Group 8
XW0G7K8	Introduction of Sabizabulin into Upper GI, Via Natural or Artificial Opening, New Technology Group 8
XW0G7M6	Introduction of Baricitinib into Upper GI, Via Natural or Artificial Opening, New Technology Group 6
XW0G7R7	Introduction of Fostamatinib into Upper GI, Via Natural or Artificial Opening, New Technology Group 7
XW0G886	Introduction of Mineral-based Topical Hemostatic Agent into Upper GI, Via Natural or Artificial Opening Endoscopic, New Technology Group 6

Typical Clinical Scenarios

An older adult hospitalized with severe dysphagia due to esophageal motility disorder receives enteral administration of a therapeutic monoclonal antibody formulation into the upper gastrointestinal tract because oral ingestion is unsafe. The procedure is performed via the patient's existing orogastric tube to introduce the prescribed monoclonal antibody for treatment while monitoring tolerance and aspiration risk. The introduction targets the upper GI anatomical region and is performed as part of the inpatient treatment plan. Typical codes: XW0G7M6
A middle-aged patient admitted with acute upper GI bleeding and hemodynamic instability receives an endoscopy-guided topical hemostatic monoclonal antibody preparation applied directly to the bleeding site in the esophagus and proximal stomach. The endoscopic introduction of the hemostatic agent into the upper gastrointestinal tract is performed urgently to control hemorrhage and stabilize the patient for further care. Documentation specifies endoscopic approach to the upper GI region for topical therapeutic introduction. Typical codes: XW0G886
A hospitalized immunocompromised patient with documented systemic viral infection and impaired oral intake undergoes planned enteric delivery of an antiviral monoclonal antibody into the upper GI tract via a nasogastric tube because intravenous access is limited and the gastrointestinal route is selected to achieve localized mucosal effect. The procedure is performed to introduce the specified antiviral agent into the upper GI anatomy during the inpatient stay as part of the therapeutic regimen. Typical codes: XW0G738

Related Codes

XW00-SKIN-INTRODUCTION

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

XW01-SUBCUTANEOUS-TISSUE-INTRODUCTION

ICD-10-PCS Code For Subcutaneous Tissue: Procedure Code Group Overview

XW02-MUSCLE-INTRODUCTION

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

XW03-PERIPHERAL-VEIN-INTRODUCTION

ICD-10-PCS Code For Peripheral Vein: Procedure Code Group Overview

XW04-CENTRAL-VEIN-INTRODUCTION

ICD-10-PCS Code For Central Vein: Procedure Code Group Overview

XW05-PERIPHERAL-ARTERY-INTRODUCTION

ICD-10-PCS Code For Peripheral Artery: Procedure Code Group Overview

XW06-CEREBRAL-VENTRICLE-INTRODUCTION

ICD-10-PCS Code For Cerebral Ventricle: Procedure Code Group Overview

XW0D-MOUTH-AND-PHARYNX-INTRODUCTION

ICD-10-PCS Code For Mouth And Pharynx: Procedure Code Group Overview

XW0E-EAR-INTRODUCTION-EAR-S-INTRODUCTION

ICD-10-PCS Code For Ear(s): Procedure Code Group Overview

XW0H-LOWER-GI-INTRODUCTION

ICD-10-PCS Code For Lower GI: Procedure Code Group Overview

Showing 1–10 of 17

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 Gi: Procedure Code Group Overview

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

Upper Gi Introduction Procedure Overview

Code Attributes

ICD-10-PCS Code For Upper Gi: Procedure Code Group Overview

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

Upper Gi Introduction 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 code group XW0G?

What is the primary purpose of using an XW0G ICD-10-PCS code in inpatient documentation?

What are the body system, operation, and body part attributes for this code group?

Can you list the specific ICD-10-PCS codes and substances included in XW0G?

Are there related DRGs listed for the XW0G group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS code group XW0G?

What is the primary purpose of using an XW0G ICD-10-PCS code in inpatient documentation?

What are the body system, operation, and body part attributes for this code group?

Can you list the specific ICD-10-PCS codes and substances included in XW0G?

Are there related DRGs listed for the XW0G group?

References