0D118J4
Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
Bypass Upper Esophagus to Cutaneous with Synth Sub, Endo
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemD | Gastrointestinal System |
| 3 | Root Operation1 | Bypass Altering the route of passage of the contents of a tubular body part |
| 4 | Body Part1 | Esophagus, Upper |
| 5 | Approach8 | Via Natural or Artificial Opening Endoscopic |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | Qualifier4 | Cutaneous |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 15 MS-DRGs:
- MDC 06 — Stomach, Esophageal and Duodenal Procedures: DRG 326, DRG 327, DRG 328
- MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
- MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 0D118J4 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
PCS table
- 0D1[PCS table]
- [object Object] — Section: [object Object] [Section]: “[object Object]”
- [object Object] — Body System: [object Object] [Body System]: “[object Object]”
- [object Object] — Operation: [object Object] [Operation]: “[object Object]”
MS-DRG participation (15)
- DRG 326 — STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC [MS-DRG]: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC — Stomach, Esophageal and Duodenal Procedures (MDC 06)”
- DRG 327 — STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC [MS-DRG]: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC — Stomach, Esophageal and Duodenal Procedures (MDC 06)”
- DRG 328 — STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC [MS-DRG]: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC — Stomach, Esophageal and Duodenal Procedures (MDC 06)”
- DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC [MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
- DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC [MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
- DRG 822 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
- DRG 826 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC [MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”
- DRG 827 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC [MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”
- and 7 more
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.