0T140Z3ICD-10-PCS Code: Bypass Left Kidney Pelvis to Right Kidney Pelvis, Open Approach
Bypass Left Kidney Pelvis to R Kid Pelv, 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemT | Urinary System |
| 3 | Root Operation1 | Bypass Altering the route of passage of the contents of a tubular body part |
| 4 | Body Part4 | Kidney Pelvis, Left |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | Qualifier3 | Kidney Pelvis, Right |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 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.
0T130Z3 — Bypass Right Kidney Pelvis to Right Kidney Pelvis, Open Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0T144Z3 — Bypass Left Kidney Pelvis to Right Kidney Pelvis, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0T14073 — Bypass Left Kidney Pelvis to Right Kidney Pelvis with Autologous Tissue Substitute, Open Approach, 0T140J3 — Bypass Left Kidney Pelvis to Right Kidney Pelvis with Synthetic Substitute, Open Approach, 0T140K3 — Bypass Left Kidney Pelvis to Right Kidney Pelvis with Nonautologous Tissue Substitute, Open Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0T140Z4 — Bypass Left Kidney Pelvis to Left Kidney Pelvis, Open Approach, 0T140Z6 — Bypass Left Kidney Pelvis to Right Ureter, Open Approach, 0T140Z7 — Bypass Left Kidney Pelvis to Left Ureter, Open Approach, 0T140Z8 — Bypass Left Kidney Pelvis to Colon, Open Approach, 0T140Z9 — Bypass Left Kidney Pelvis to Colocutaneous, Open Approach, 0T140ZA — Bypass Left Kidney Pelvis to Ileum, Open Approach, 0T140ZB — Bypass Left Kidney Pelvis to Bladder, Open Approach, 0T140ZC — Bypass Left Kidney Pelvis to Ileocutaneous, Open Approach, +1 more
Contextual Map
Every relationship of 0T140Z3 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
- 0T1[PCS table]
- Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
- Urinary System — Body System: Urinary System [Body System]: “Urinary System”
- Bypass — Operation: Bypass [Operation]: “Bypass”
MS-DRG participation
- DRG 656 — KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — Kidney and Ureter Procedures (MDC 11)”
- DRG 657 — KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — Kidney and Ureter Procedures (MDC 11)”
- DRG 658 — KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC — Kidney and Ureter Procedures (MDC 11)”
- DRG 659 — KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — Kidney and Ureter Procedures (MDC 11)”
- DRG 660 — KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC — Kidney and Ureter Procedures (MDC 11)”
- DRG 661 — KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC — Kidney and Ureter Procedures (MDC 11)”
MDC crossing · diagnoses (721)
- MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract [MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — 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.”
- A18.10 — Tuberculosis of genitourinary system, unspecified [Same-MDC diagnosis]: “Tuberculosis of genitourinary system, unspecified — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A18.11 — Tuberculosis of kidney and ureter [Same-MDC diagnosis]: “Tuberculosis of kidney and ureter — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A18.12 — Tuberculosis of bladder [Same-MDC diagnosis]: “Tuberculosis of bladder — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A18.13 — Tuberculosis of other urinary organs [Same-MDC diagnosis]: “Tuberculosis of other urinary organs — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A36.85 — Diphtheritic cystitis [Same-MDC diagnosis]: “Diphtheritic cystitis — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- and 716 more
Nearest codes
- 0T130Z3 — Bypass Right Kidney Pelvis to Right Kidney Pelvis, Open Approach [One axis away]
- 0T14073 — Bypass Left Kidney Pelvis to Right Kidney Pelvis with Autologous Tissue Substitute, Open Approach [One axis away]
- 0T140J3 — Bypass Left Kidney Pelvis to Right Kidney Pelvis with Synthetic Substitute, Open Approach [One axis away]
- 0T140K3 — Bypass Left Kidney Pelvis to Right Kidney Pelvis with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 0T140Z4 — Bypass Left Kidney Pelvis to Left Kidney Pelvis, Open Approach [One axis away]
- 0T140Z6 — Bypass Left Kidney Pelvis to Right Ureter, Open Approach [One axis away]
- 0T140Z7 — Bypass Left Kidney Pelvis to Left Ureter, Open Approach [One axis away]
- 0T140Z8 — Bypass Left Kidney Pelvis to Colon, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.