Skip to main content
ICD-10-PCS/0D1/0D164J9
Inpatient Procedure Code

0D164J9

Bypass Stomach to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach

Bypass Stomach to Duoden with Synth Sub, Perc Endo Approach

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 Part6

Stomach

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

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 16 MS-DRGs:

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

Contextual Map

Every relationship of 0D164J9 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 (16)

  • DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES [MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”
  • 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 423 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”
  • DRG 424 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”
  • DRG 425 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”
  • DRG 619 — O.R. PROCEDURES FOR OBESITY WITH MCC [MS-DRG]: “O.R. PROCEDURES FOR OBESITY WITH MCC — O.R. Procedures for Obesity (MDC 10)”
  • and 8 more

MDC crossing · diagnoses (3970)

  • MDC 05 — Diseases and Disorders of the Circulatory System [MDC crossing]: “Diseases and Disorders of the Circulatory 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.”
  • 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.”
  • A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”
  • A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”
  • A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”
  • A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”
  • A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”
  • and 3965 more

Nearest codes

  • 0D114J9 — Bypass Upper Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0D124J9 — Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0D134J9 — Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0D154J9 — Bypass Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0D160J9 — Bypass Stomach to Duodenum with Synthetic Substitute, Open Approach [One axis away]
  • 0D16479 — Bypass Stomach to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0D164J4 — Bypass Stomach to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0D164JA — Bypass Stomach to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]

Change history

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