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
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 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:
- MDC 06 — Major Small and Large Bowel Procedures: DRG 329, DRG 330, DRG 331
- 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.
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
- 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 (15)
- 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 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
- DRG 822 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 826 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 827 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 7 more
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
- 0D118J4 — Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D128J4 — Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D138J4 — Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D158J4 — Bypass Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D168J4 — Bypass Stomach to Cutaneous with Synthetic 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
- 0D198J4 — Bypass Duodenum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0D1A8J4 — Bypass Jejunum to Cutaneous 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 Large Intestine to Cutaneous 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