Skip to main content
Inpatient Procedure Code

0D190J4 ICD-10-PCS Code: Bypass Duodenum to Cutaneous with Synthetic Substitute, Open Approach

Bypass Duodenum to Cutaneous with Synth Sub, Open Approach

Check this code on a claim

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 Part9

Duodenum

5
Approach0

Open

6
DeviceJ

Synthetic Substitute

7
Qualifier4

Cutaneous

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 15 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.

0D130J4 — Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Open Approach, 0D150J4 — Bypass Esophagus to Cutaneous with Synthetic Substitute, Open Approach, 0D160J4 — Bypass Stomach to Cutaneous with Synthetic Substitute, Open Approach, 0D180J4 — Bypass Small Intestine to Cutaneous with Synthetic Substitute, Open Approach, 0D1A0J4 — Bypass Jejunum to Cutaneous with Synthetic Substitute, Open Approach, 0D1B0J4 — Bypass Ileum to Cutaneous with Synthetic Substitute, Open Approach, 0D1E0J4 — Bypass Large Intestine to Cutaneous with Synthetic Substitute, Open Approach, 0D1H0J4 — Bypass Cecum to Cutaneous with Synthetic Substitute, Open Approach, +6 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0D193J4 — Bypass Duodenum to Cutaneous with Synthetic Substitute, Percutaneous Approach, 0D194J4 — Bypass Duodenum to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach, 0D198J4 — Bypass Duodenum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

Same operation — other Device

Same table and root operation, differing only in the device character.

0D19074 — Bypass Duodenum to Cutaneous with Autologous Tissue Substitute, Open Approach, 0D190K4 — Bypass Duodenum to Cutaneous with Nonautologous Tissue Substitute, Open Approach, 0D190Z4 — Bypass Duodenum to Cutaneous, Open Approach

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

0D190J9 — Bypass Duodenum to Duodenum with Synthetic Substitute, Open Approach, 0D190JA — Bypass Duodenum to Jejunum with Synthetic Substitute, Open Approach, 0D190JB — Bypass Duodenum to Ileum with Synthetic Substitute, Open Approach, 0D190JL — Bypass Duodenum to Transverse Colon with Synthetic Substitute, Open Approach

Contextual Map

Every relationship of 0D190J4 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 0D190J4 with these 5 related codes in Claim Check

PCS table

MS-DRG participation (15)

Clinical classification (CCSR)

  • GIS018 — Ileostomy and colostomy[CCSR category]: “Ileostomy and colostomy — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (1865)

  • 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 17 — Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms[MDC crossing]: “Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms — 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 1860 more

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.

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