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Inpatient Procedure Code

0D188KH

Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

Bypass Small Intestine to Cecum with Nonaut 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.

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
DeviceK

Nonautologous Tissue Substitute

7
QualifierH

Cecum

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 19 MS-DRGs:

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

Contextual Map

Every relationship of 0D188KH 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 (19)

  • 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 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)”
  • 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)”
  • 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)”
  • DRG 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”
  • 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)”
  • 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)”
  • 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)”
  • and 11 more

MDC crossing · diagnoses (4337)

  • 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.” · check together
  • A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • and 4332 more

Nearest codes

  • 0D180KH — Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Open Approach [One axis away]
  • 0D184KH — Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0D1887H — Bypass Small Intestine to Cecum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D188JH — Bypass Small Intestine to Cecum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D188K4 — Bypass Small Intestine to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D188K8 — Bypass Small Intestine to Small Intestine with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D188KK — Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
  • 0D188KL — Bypass Small Intestine to Transverse Colon with Nonautologous Tissue Substitute, 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.