0D188JK ICD-10-PCS Code: Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
Bypass Small Intestine to Asc Colon 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 Part8 | Small Intestine |
| 5 | Approach8 | Via Natural or Artificial Opening Endoscopic |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | QualifierK | Ascending Colon |
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 18 MS-DRGs:
- MDC 06 — Major Small and Large Bowel Procedures: DRG 329, DRG 330, DRG 331
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- 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.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0D1A8JK — Bypass Jejunum to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1B8JK — Bypass Ileum to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1H8JK — Bypass Cecum to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1K8JK — Bypass Ascending Colon to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0D180JK — Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Open Approach, 0D184JK — Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0D1887K — Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic, 0D188KK — Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic, 0D188ZK — Bypass Small Intestine to Ascending Colon, Via Natural or Artificial Opening Endoscopic
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0D188J4 — Bypass Small Intestine to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D188J8 — Bypass Small Intestine to Small Intestine with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D188JH — Bypass Small Intestine to Cecum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D188JL — Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D188JM — Bypass Small Intestine to Descending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D188JN — Bypass Small Intestine to Sigmoid Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D188JP — Bypass Small Intestine to Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D188JQ — Bypass Small Intestine to Anus with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Upper GI therapeutic procedures, NEC (endoscopic) (Gastrointestinal System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
06L27ZZ — Occlusion of Gastric Vein, Via Natural or Artificial Opening, 06L28CZ — Occlusion of Gastric Vein with Extraluminal Device, Via Natural or Artificial Opening Endoscopic, 06L28DZ — Occlusion of Gastric Vein with Intraluminal Device, Via Natural or Artificial Opening Endoscopic, 06L28ZZ — Occlusion of Gastric Vein, Via Natural or Artificial Opening Endoscopic, 06L37CZ — Occlusion of Esophageal Vein with Extraluminal Device, Via Natural or Artificial Opening, 06L37DZ — Occlusion of Esophageal Vein with Intraluminal Device, Via Natural or Artificial Opening, 06L37ZZ — Occlusion of Esophageal Vein, Via Natural or Artificial Opening, 06L38CZ — Occlusion of Esophageal Vein with Extraluminal Device, Via Natural or Artificial Opening Endoscopic, 06L38DZ — Occlusion of Esophageal Vein with Intraluminal Device, Via Natural or Artificial Opening Endoscopic, 06L38ZZ — Occlusion of Esophageal Vein, Via Natural or Artificial Opening Endoscopic, 0D713DZ — Dilation of Upper Esophagus with Intraluminal Device, Percutaneous Approach, 0D713ZZ — Dilation of Upper Esophagus, Percutaneous Approach, 0D717DZ — Dilation of Upper Esophagus with Intraluminal Device, Via Natural or Artificial Opening, 0D717ZZ — Dilation of Upper Esophagus, Via Natural or Artificial Opening, 0D718DZ — Dilation of Upper Esophagus with Intraluminal Device, Via Natural or Artificial Opening Endoscopic, 0D718ZZ — Dilation of Upper Esophagus, Via Natural or Artificial Opening Endoscopic, 0D723DZ — Dilation of Middle Esophagus with Intraluminal Device, Percutaneous Approach, 0D723ZZ — Dilation of Middle Esophagus, Percutaneous Approach, 0D727DZ — Dilation of Middle Esophagus with Intraluminal Device, Via Natural or Artificial Opening, 0D727ZZ — Dilation of Middle Esophagus, Via Natural or Artificial Opening, +270 more
Contextual Map
Every relationship of 0D188JK 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.
Run 0D188JK with these 5 related codes in Claim Check
PCS table
- 0D1[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Gastrointestinal System — Body System: Gastrointestinal System[Body System]: “Gastrointestinal System”— CMS ICD-10-PCS tables
- Bypass — Operation: Bypass[Operation]: “Bypass”— CMS ICD-10-PCS tables
MS-DRG participation (18)
- DRG 329 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 330 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 331 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 629 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 630 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 10 more
Clinical classification (CCSR)
- GIS027 — Upper GI therapeutic procedures, NEC (endoscopic)[CCSR category]: “Upper GI therapeutic procedures, NEC (endoscopic) — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (2498)
- 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.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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.”— CMS MS-DRG Definitions Manual · FY2027
- 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A00.9 — Cholera, unspecified[Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A02.0 — Salmonella enteritis[Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 2493 more
Nearest codes
- 0D180JK — Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0D184JK — Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0D1887K — Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D188J4 — Bypass Small Intestine to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D188J8 — Bypass Small Intestine to Small Intestine with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D188JH — Bypass Small Intestine to Cecum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D188JL — Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D188JM — Bypass Small Intestine to Descending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2020 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2020
Change history
- FY2020 — October 1, 2019Added to the code setBypass Small Intestine to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening EndoscopicFY2020 changes
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources