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ICD-10-PCS 2027 procedure code

0D1E4KEBypass Large Intestine to Large Intestine with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Lg Intest to Lg Intest w Nonaut Sub, Perc Endo

Code last changed in FY2020 (effective October 1, 2019). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0D1E4KE

0D1E4KE is the ICD-10-PCS code for a bypass procedure on the large intestine using a percutaneous endoscopic approach with nonautologous tissue substitute (qualifier: large intestine). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

The same procedure with a different approach is coded 0D1E0KE (open) and 0D1E8KE (via natural or artificial opening endoscopic).

With a different device, use 0D1E47E (autologous tissue substitute), 0D1E4JE (synthetic substitute) and 0D1E4ZE (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 329 (Major Small and Large Bowel Procedures with MCC), DRG 330 (Major Small and Large Bowel Procedures with CC), DRG 331 (Major Small and Large Bowel Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Major Small and Large Bowel Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2020, effective October 1, 2019.

What each character means

1. Section
0Medical and Surgical
2. Body System
DGastrointestinal System
3. Operation
1Bypass

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

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
ELarge Intestine
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ELarge Intestine

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2020 (effective 10/1/2019): Added
  • No changes since FY2020.

Common questions about 0D1E4KE

Is 0D1E4KE a valid ICD-10-PCS code for 2027?

Yes. 0D1E4KE is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D1E4KE an O.R. procedure?

Yes. 0D1E4KE is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D1E4KE group to?

Depending on the principal diagnosis, 0D1E4KE can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 628, MS-DRG 629 and MS-DRG 630.