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ICD-10-PCS 2027 procedure code

0D1E4Z4Bypass Large Intestine to Cutaneous, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Large Intestine to Cutaneous, Perc Endo Approach

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 0D1E4Z4

0D1E4Z4 is the ICD-10-PCS code for a bypass procedure on the large intestine using a percutaneous endoscopic approach (qualifier: cutaneous). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

For a different body part, codes include 0D114Z4 (esophagus, upper), 0D124Z4 (esophagus, middle), 0D134Z4 (esophagus, lower), 0D154Z4 (esophagus), 0D164Z4 (stomach), 0D184Z4 (small intestine) and 8 more.

The same procedure with a different approach is coded 0D1E0Z4 (open) and 0D1E8Z4 (via natural or artificial opening endoscopic).

With a different device, use 0D1E474 (autologous tissue substitute), 0D1E4J4 (synthetic substitute) and 0D1E4K4 (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), 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) and DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “Major Small and Large Bowel Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 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
ZNo Device
7. Qualifier
4Cutaneous

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.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

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 0D1E4Z4

Is 0D1E4Z4 a valid ICD-10-PCS code for 2027?

Yes. 0D1E4Z4 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D1E4Z4 an O.R. procedure?

Yes. 0D1E4Z4 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D1E4Z4 group to?

Depending on the principal diagnosis, 0D1E4Z4 can group to MS-DRG 361, MS-DRG 362, MS-DRG 329, MS-DRG 330, MS-DRG 331 and MS-DRG 820.