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ICD-10-PCS/0F1/0F154Z4
Inpatient Procedure Code

0F154Z4

Bypass Right Hepatic Duct to Stomach, Percutaneous Endoscopic Approach

Bypass Right Hepatic Duct to Stomach, Perc Endo 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 Part5

Hepatic Duct, Right

5
Approach4

Percutaneous Endoscopic

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 18 MS-DRGs:

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

Contextual Map

Every relationship of 0F154Z4 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 (18)

  • DRG 356 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — Other Digestive System O.R. Procedures (MDC 06)”
  • DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — Other Digestive System O.R. Procedures (MDC 06)”
  • DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Digestive System O.R. Procedures (MDC 06)”
  • 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)”
  • and 10 more

MDC crossing · diagnoses (2158)

  • 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.”
  • 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.”
  • 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.” · check together
  • 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.” · check together
  • A00.9 — Cholera, unspecified [Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.” · check together
  • A02.0 — Salmonella enteritis [Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.” · check together
  • 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.” · check together
  • and 2153 more

Nearest codes

  • 0F144Z4 — Bypass Gallbladder to Stomach, Percutaneous Endoscopic Approach [One axis away]
  • 0F150Z4 — Bypass Right Hepatic Duct to Stomach, Open Approach [One axis away]
  • 0F154D4 — Bypass Right Hepatic Duct to Stomach with Intraluminal Device, Percutaneous Endoscopic Approach [One axis away]
  • 0F154Z3 — Bypass Right Hepatic Duct to Duodenum, Percutaneous Endoscopic Approach [One axis away]
  • 0F154Z5 — Bypass Right Hepatic Duct to Right Hepatic Duct, Percutaneous Endoscopic Approach [One axis away]
  • 0F154Z6 — Bypass Right Hepatic Duct to Left Hepatic Duct, Percutaneous Endoscopic Approach [One axis away]
  • 0F154Z7 — Bypass Right Hepatic Duct to Caudate Hepatic Duct, Percutaneous Endoscopic Approach [One axis away]
  • 0F154Z8 — Bypass Right Hepatic Duct to Cystic Duct, Percutaneous Endoscopic Approach [One axis away]

Change history

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