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ICD-10-PCS/0D1/0D138Z9
Inpatient Procedure Code

0D138Z9

Bypass Lower Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic

Bypass Lower Esophagus to Duodenum, 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.

PositionValueMeaning
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 Part3

Esophagus, Lower

5
Approach8

Via Natural or Artificial Opening Endoscopic

6
DeviceZ

No Device

7
Qualifier9

Duodenum

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0D138Z9 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

  • 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)”

MDC crossing · diagnoses (1195)

  • MDC 06 — Diseases and Disorders of the Digestive System [MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • A00.0 — Cholera due to Vibrio cholerae 01, biovar cholerae [Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar cholerae — grouped in MDC 06, the diagnosis side of this code's crossing.”
  • A00.1 — Cholera due to Vibrio cholerae 01, biovar eltor [Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar eltor — grouped in MDC 06, the diagnosis side of this code's crossing.”
  • A00.9 — Cholera, unspecified [Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”
  • A02.0 — Salmonella enteritis [Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”
  • A03.0 — Shigellosis due to Shigella dysenteriae [Same-MDC diagnosis]: “Shigellosis due to Shigella dysenteriae — grouped in MDC 06, the diagnosis side of this code's crossing.”
  • and 1190 more

Nearest codes

  • 0D118Z9 — Bypass Upper Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D128Z9 — Bypass Middle Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D130Z9 — Bypass Lower Esophagus to Duodenum, Open Approach [One axis away]
  • 0D134Z9 — Bypass Lower Esophagus to Duodenum, Percutaneous Endoscopic Approach [One axis away]
  • 0D13879 — Bypass Lower Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D138J9 — Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D138K9 — Bypass Lower Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D138Z4 — Bypass Lower Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.