0F164Z8 ICD-10-PCS Code: Bypass Left Hepatic Duct to Cystic Duct, Percutaneous Endoscopic Approach
Bypass Left Hepatic Duct to Cystic Duct, 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.
| Position | Value | Meaning |
|---|---|---|
| 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 Part6 | Hepatic Duct, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | Qualifier8 | Cystic Duct |
MS-DRG Grouper Relationships (FY2026)
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 07 — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.: DRG 408, DRG 409, DRG 410
- 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.
0F144Z8 — Bypass Gallbladder to Cystic Duct, Percutaneous Endoscopic Approach, 0F154Z8 — Bypass Right Hepatic Duct to Cystic Duct, Percutaneous Endoscopic Approach, 0F174Z8 — Bypass Common Hepatic Duct to Cystic Duct, Percutaneous Endoscopic Approach, 0F184Z8 — Bypass Cystic Duct to Cystic Duct, Percutaneous Endoscopic Approach, 0F194Z8 — Bypass Common Bile Duct to Cystic Duct, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0F160Z8 — Bypass Left Hepatic Duct to Cystic Duct, Open Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0F164Z3 — Bypass Left Hepatic Duct to Duodenum, Percutaneous Endoscopic Approach, 0F164Z4 — Bypass Left Hepatic Duct to Stomach, Percutaneous Endoscopic Approach, 0F164Z5 — Bypass Left Hepatic Duct to Right Hepatic Duct, Percutaneous Endoscopic Approach, 0F164Z6 — Bypass Left Hepatic Duct to Left Hepatic Duct, Percutaneous Endoscopic Approach, 0F164Z7 — Bypass Left Hepatic Duct to Caudate Hepatic Duct, Percutaneous Endoscopic Approach, 0F164Z9 — Bypass Left Hepatic Duct to Common Bile Duct, Percutaneous Endoscopic Approach, 0F164ZB — Bypass Left Hepatic Duct to Small Intestine, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Hepatobiliary and pancreatic procedures, NEC (Hepatobiliary and Pancreas Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0F20XYZ — Change Other Device in Liver, External Approach, 0F24XYZ — Change Other Device in Gallbladder, External Approach, 0F2BXYZ — Change Other Device in Hepatobiliary Duct, External Approach, 0F2DXYZ — Change Other Device in Pancreatic Duct, External Approach, 0F2GXYZ — Change Other Device in Pancreas, External Approach, 0F800ZZ — Division of Liver, Open Approach, 0F803ZZ — Division of Liver, Percutaneous Approach, 0F804ZZ — Division of Liver, Percutaneous Endoscopic Approach, 0F810ZZ — Division of Right Lobe Liver, Open Approach, 0F813ZZ — Division of Right Lobe Liver, Percutaneous Approach, 0F814ZZ — Division of Right Lobe Liver, Percutaneous Endoscopic Approach, 0F820ZZ — Division of Left Lobe Liver, Open Approach, 0F823ZZ — Division of Left Lobe Liver, Percutaneous Approach, 0F824ZZ — Division of Left Lobe Liver, Percutaneous Endoscopic Approach, 0F8G0ZZ — Division of Pancreas, Open Approach, 0F8G3ZZ — Division of Pancreas, Percutaneous Approach, 0F8G4ZZ — Division of Pancreas, Percutaneous Endoscopic Approach, 0FH002Z — Insertion of Monitoring Device into Liver, Open Approach, 0FH003Z — Insertion of Infusion Device into Liver, Open Approach, 0FH00YZ — Insertion of Other Device into Liver, Open Approach, +828 more
Contextual Map
Every relationship of 0F164Z8 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]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Hepatobiliary System and Pancreas — Body System: Hepatobiliary System and Pancreas[Body System]: “Hepatobiliary System and Pancreas”
- Bypass — Operation: Bypass[Operation]: “Bypass”
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
Clinical classification (CCSR)
- HEP013 — Hepatobiliary and pancreatic procedures, NEC[CCSR category]: “Hepatobiliary and pancreatic procedures, NEC — Hepatobiliary and Pancreas Procedures”
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.” · Check 0F164Z8 + A06.4 together
- A51.45 — Secondary syphilitic hepatitis[Same-MDC diagnosis]: “Secondary syphilitic hepatitis — grouped in MDC 07, the diagnosis side of this code's crossing.” · Check 0F164Z8 + A51.45 together
- 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.” · Check 0F164Z8 + A52.74 together
- 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.” · Check 0F164Z8 + B15.0 together
- 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.” · Check 0F164Z8 + B15.9 together
- and 958 more
Nearest codes
- 0F144Z8 — Bypass Gallbladder to Cystic Duct, Percutaneous Endoscopic Approach[One axis away]
- 0F154Z8 — Bypass Right Hepatic Duct to Cystic Duct, Percutaneous Endoscopic Approach[One axis away]
- 0F160Z8 — Bypass Left Hepatic Duct to Cystic Duct, Open Approach[One axis away]
- 0F164D8 — Bypass Left Hepatic Duct to Cystic Duct with Intraluminal Device, Percutaneous Endoscopic Approach[One axis away]
- 0F164Z3 — Bypass Left Hepatic Duct to Duodenum, Percutaneous Endoscopic Approach[One axis away]
- 0F164Z4 — Bypass Left Hepatic Duct to Stomach, Percutaneous Endoscopic Approach[One axis away]
- 0F164Z5 — Bypass Left Hepatic Duct to Right Hepatic Duct, Percutaneous Endoscopic Approach[One axis away]
- 0F164Z6 — Bypass Left Hepatic Duct to Left Hepatic Duct, Percutaneous Endoscopic Approach[One axis away]
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.