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Inpatient Procedure Code

0D1E8J4 ICD-10-PCS Code: Bypass Large Intestine to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

Bypass Large Intestine to Cutaneous 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 PartE

Large Intestine

5
Approach8

Via Natural or Artificial Opening Endoscopic

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.

0D188J4 — Bypass Small Intestine to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D198J4 — Bypass Duodenum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1A8J4 — Bypass Jejunum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1B8J4 — Bypass Ileum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1H8J4 — Bypass Cecum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1K8J4 — Bypass Ascending Colon to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1L8J4 — Bypass Transverse Colon to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1M8J4 — Bypass Descending Colon to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, +6 more

Same operation — other Approach

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

0D1E0J4 — Bypass Large Intestine to Cutaneous with Synthetic Substitute, Open Approach, 0D1E4J4 — Bypass Large Intestine to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

Same operation — other Device

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

0D1E874 — Bypass Large Intestine to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic, 0D1E8K4 — Bypass Large Intestine to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic, 0D1E8Z4 — Bypass Large Intestine to Cutaneous, Via Natural or Artificial Opening Endoscopic

Same operation — other Qualifier

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

0D1E8JE — Bypass Large Intestine to Large Intestine with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic, 0D1E8JP — Bypass Large Intestine to Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

Contextual Map

Every relationship of 0D1E8J4 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 0D1E8J4 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

Change history

  • FY2020 — October 1, 2019
    Added to the code set
    Bypass Large Intestine to Cutaneous 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