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ICD-10-PCS/0T1/0T1B4J9
Inpatient Procedure Code

0T1B4J9

Bypass Bladder to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

Bypass Bladder to Colocutan w Synth Sub, Perc 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.

PositionValueMeaning
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 PartB

Bladder

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

7
Qualifier9

Colocutaneous

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 13 MS-DRGs:

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

Contextual Map

Every relationship of 0T1B4J9 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]
  • [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 (13)

  • DRG 653 — MAJOR BLADDER PROCEDURES WITH MCC [MS-DRG]: “MAJOR BLADDER PROCEDURES WITH MCC — Major Bladder Procedures (MDC 11)”
  • DRG 654 — MAJOR BLADDER PROCEDURES WITH CC [MS-DRG]: “MAJOR BLADDER PROCEDURES WITH CC — Major Bladder Procedures (MDC 11)”
  • DRG 655 — MAJOR BLADDER PROCEDURES WITHOUT CC/MCC [MS-DRG]: “MAJOR BLADDER PROCEDURES WITHOUT CC/MCC — Major Bladder Procedures (MDC 11)”
  • DRG 715 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC [MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”
  • DRG 716 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC [MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”
  • DRG 717 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC [MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”
  • DRG 718 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC [MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”
  • 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)”
  • and 5 more

MDC crossing · diagnoses (1746)

  • 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.”
  • MDC 12 — Diseases and Disorders of the Male Reproductive System [MDC crossing]: “Diseases and Disorders of the Male Reproductive 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.”
  • 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 1741 more

Nearest codes

  • 0T134J9 — Bypass Right Kidney Pelvis to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0T144J9 — Bypass Left Kidney Pelvis to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0T164J9 — Bypass Right Ureter to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0T174J9 — Bypass Left Ureter to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0T184J9 — Bypass Bilateral Ureters to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0T1B0J9 — Bypass Bladder to Colocutaneous with Synthetic Substitute, Open Approach [One axis away]
  • 0T1B479 — Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0T1B4JC — Bypass Bladder to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]

Change history

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