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ICD-10-PCS 2027 procedure code

0W1G3J4Bypass Peritoneal Cavity to Cutaneous with Synthetic Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Periton Cav to Cutan with Synth Sub, Perc Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0W1G3J4

0W1G3J4 is the ICD-10-PCS code for a bypass procedure on the peritoneal cavity using a percutaneous approach with synthetic substitute (qualifier: cutaneous). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to creation of cutaneoperitoneal fistula, the ICD-9-CM procedure title it maps to (54.93).

For a different body part, codes include 0W193J4 (right pleural cavity), 0W1B3J4 (left pleural cavity) and 0W1J3J4 (pelvic cavity).

The same procedure with a different approach is coded 0W1G0J4 (open) and 0W1G4J4 (percutaneous endoscopic).

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 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC), DRG 358 (Other Digestive System O.R. Procedures without CC/MCC) and DRG 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “Other Digestive System O.R. Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures” and 5 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
WAnatomical Regions, General
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
GPeritoneal Cavity

Includes: Abdominal cavity; Gallbladder fossa

5. Approach
3Percutaneous

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

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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

ICD-9-CM equivalent

Converter →
  • 54.93Creation of cutaneoperitoneal fistulaapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0W1G3J4

Is 0W1G3J4 a valid ICD-10-PCS code for 2027?

Yes. 0W1G3J4 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0W1G3J4 an O.R. procedure?

Yes. 0W1G3J4 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0W1G3J4 group to?

Depending on the principal diagnosis, 0W1G3J4 can group to MS-DRG 361, MS-DRG 362, MS-DRG 356, MS-DRG 357, MS-DRG 358 and MS-DRG 423.

What is the ICD-9 procedure code for 0W1G3J4?

The CMS GEMs map 0W1G3J4 to ICD-9-CM 54.93 (Creation of cutaneoperitoneal fistula).