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Inpatient Procedure Code

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

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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 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:

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

MS-DRG participation (18)

Clinical classification (CCSR)

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

Change history

Change history

  • FY2020 — October 1, 2019
    Added to the code set
    Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
    FY2020 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