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ICD-10-PCS/0F1/0F140Z4
Inpatient Procedure Code

0F140Z4

Bypass Gallbladder to Stomach, Open Approach

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 SystemF

Hepatobiliary System and Pancreas

3
Root Operation1

Bypass

Altering the route of passage of the contents of a tubular body part

4
Body Part4

Gallbladder

5
Approach0

Open

6
DeviceZ

No Device

7
Qualifier4

Stomach

Potential MS-DRG Relationships (FY2026)

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.

Contextual Map

Every relationship of 0F140Z4 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

  • 0F1[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 (15)

  • DRG 408 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC [MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”
  • DRG 409 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC [MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”
  • DRG 410 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC [MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”
  • 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)”
  • 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)”
  • 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)”
  • 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)”
  • 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)”
  • and 7 more

MDC crossing · diagnoses (963)

  • MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas [MDC crossing]: “Diseases and Disorders of the Hepatobiliary System and Pancreas — 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 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.”
  • A06.4 — Amebic liver abscess [Same-MDC diagnosis]: “Amebic liver abscess — grouped in MDC 07, the diagnosis side of this code's crossing.”
  • A51.45 — Secondary syphilitic hepatitis [Same-MDC diagnosis]: “Secondary syphilitic hepatitis — grouped in MDC 07, the diagnosis side of this code's crossing.”
  • A52.74 — Syphilis of liver and other viscera [Same-MDC diagnosis]: “Syphilis of liver and other viscera — grouped in MDC 07, the diagnosis side of this code's crossing.”
  • B15.0 — Hepatitis A with hepatic coma [Same-MDC diagnosis]: “Hepatitis A with hepatic coma — grouped in MDC 07, the diagnosis side of this code's crossing.”
  • B15.9 — Hepatitis A without hepatic coma [Same-MDC diagnosis]: “Hepatitis A without hepatic coma — grouped in MDC 07, the diagnosis side of this code's crossing.”
  • and 958 more

Nearest codes

  • 0F140D4 — Bypass Gallbladder to Stomach with Intraluminal Device, Open Approach [One axis away]
  • 0F140Z3 — Bypass Gallbladder to Duodenum, Open Approach [One axis away]
  • 0F140Z5 — Bypass Gallbladder to Right Hepatic Duct, Open Approach [One axis away]
  • 0F140Z6 — Bypass Gallbladder to Left Hepatic Duct, Open Approach [One axis away]
  • 0F140Z7 — Bypass Gallbladder to Caudate Hepatic Duct, Open Approach [One axis away]
  • 0F140Z8 — Bypass Gallbladder to Cystic Duct, Open Approach [One axis away]
  • 0F140Z9 — Bypass Gallbladder to Common Bile Duct, Open Approach [One axis away]
  • 0F140ZB — Bypass Gallbladder to Small Intestine, Open Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.