ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:
  D = Gastrointestinal System

Root Operation:
  1 = Bypass

Body Part:

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See Terms used in Medical and Surgical

Select the appropriate procedure code based on the approach & device:

0D15 - Esophagus

• Open Approach

  Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

  • Autologous Tissue Substitute
    • 0D15074 - Bypass Esophagus to Cutaneous with Autol Sub, Open Approach
    • 0D15076 - Bypass Esophagus to Stomach with Autol Sub, Open Approach
    • 0D15079 - Bypass Esophagus to Duodenum with Autol Sub, Open Approach
    • 0D1507A - Bypass Esophagus to Jejunum with Autol Sub, Open Approach
    • 0D1507B - Bypass Esophagus to Ileum with Autol Sub, Open Approach
  • Synthetic Substitute
    • 0D150J4 - Bypass Esophagus to Cutaneous with Synth Sub, Open Approach
    • 0D150J6 - Bypass Esophagus to Stomach with Synth Sub, Open Approach
    • 0D150J9 - Bypass Esophagus to Duodenum with Synth Sub, Open Approach
    • 0D150JA - Bypass Esophagus to Jejunum with Synth Sub, Open Approach
    • 0D150JB - Bypass Esophagus to Ileum with Synth Sub, Open Approach
  • Nonautologous Tissue Substitute
    • 0D150K4 - Bypass Esophagus to Cutaneous with Nonaut Sub, Open Approach
    • 0D150K6 - Bypass Esophagus to Stomach with Nonaut Sub, Open Approach
    • 0D150K9 - Bypass Esophagus to Duodenum with Nonaut Sub, Open Approach
    • 0D150KA - Bypass Esophagus to Jejunum with Nonaut Sub, Open Approach
    • 0D150KB - Bypass Esophagus to Ileum with Nonaut Sub, Open Approach
  • No Device
    • 0D150Z4 - Bypass Esophagus to Cutaneous, Open Approach
    • 0D150Z6 - Bypass Esophagus to Stomach, Open Approach
    • 0D150Z9 - Bypass Esophagus to Duodenum, Open Approach
    • 0D150ZA - Bypass Esophagus to Jejunum, Open Approach
    • 0D150ZB - Bypass Esophagus to Ileum, Open Approach

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• Percutaneous Approach

  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

  • Synthetic Substitute
    • 0D153J4 - Bypass Esophagus to Cutaneous with Synth Sub, Perc Approach

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• Percutaneous Endoscopic Approach

  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

  • Autologous Tissue Substitute
    • 0D15474 - Bypass Esophagus to Cutan with Autol Sub, Perc Endo Approach
    • 0D15476 - Bypass Esophag to Stomach with Autol Sub, Perc Endo Approach
    • 0D15479 - Bypass Esophag to Duoden with Autol Sub, Perc Endo Approach
    • 0D1547A - Bypass Esophag to Jejunum with Autol Sub, Perc Endo Approach
    • 0D1547B - Bypass Esophagus to Ileum with Autol Sub, Perc Endo Approach
  • Synthetic Substitute
    • 0D154J4 - Bypass Esophagus to Cutan with Synth Sub, Perc Endo Approach
    • 0D154J6 - Bypass Esophag to Stomach with Synth Sub, Perc Endo Approach
    • 0D154J9 - Bypass Esophag to Duoden with Synth Sub, Perc Endo Approach
    • 0D154JA - Bypass Esophag to Jejunum with Synth Sub, Perc Endo Approach
    • 0D154JB - Bypass Esophagus to Ileum with Synth Sub, Perc Endo Approach
  • Nonautologous Tissue Substitute
    • 0D154K4 - Bypass Esophag to Cutan with Nonaut Sub, Perc Endo Approach
    • 0D154K6 - Bypass Esophag to Stomach w Nonaut Sub, Perc Endo
    • 0D154K9 - Bypass Esophag to Duoden with Nonaut Sub, Perc Endo Approach
    • 0D154KA - Bypass Esophag to Jejunum w Nonaut Sub, Perc Endo
    • 0D154KB - Bypass Esophag to Ileum with Nonaut Sub, Perc Endo Approach
  • No Device
    • 0D154Z4 - Bypass Esophagus to Cutaneous, Perc Endo Approach
    • 0D154Z6 - Bypass Esophagus to Stomach, Perc Endo Approach
    • 0D154Z9 - Bypass Esophagus to Duodenum, Perc Endo Approach
    • 0D154ZA - Bypass Esophagus to Jejunum, Perc Endo Approach
    • 0D154ZB - Bypass Esophagus to Ileum, Percutaneous Endoscopic Approach

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• Via Natural or Artificial Opening Endoscopic Approach

  Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

  • Autologous Tissue Substitute
    • 0D15874 - Bypass Esophagus to Cutaneous with Autol Sub, Endo
    • 0D15876 - Bypass Esophagus to Stomach with Autol Sub, Endo
    • 0D15879 - Bypass Esophagus to Duodenum with Autol Sub, Endo
    • 0D1587A - Bypass Esophagus to Jejunum with Autol Sub, Endo
    • 0D1587B - Bypass Esophagus to Ileum with Autol Sub, Endo
  • Synthetic Substitute
    • 0D158J4 - Bypass Esophagus to Cutaneous with Synth Sub, Endo
    • 0D158J6 - Bypass Esophagus to Stomach with Synthetic Substitute, Endo
    • 0D158J9 - Bypass Esophagus to Duodenum with Synthetic Substitute, Endo
    • 0D158JA - Bypass Esophagus to Jejunum with Synthetic Substitute, Endo
    • 0D158JB - Bypass Esophagus to Ileum with Synthetic Substitute, Endo
  • Nonautologous Tissue Substitute
    • 0D158K4 - Bypass Esophagus to Cutaneous with Nonaut Sub, Endo
    • 0D158K6 - Bypass Esophagus to Stomach with Nonaut Sub, Endo
    • 0D158K9 - Bypass Esophagus to Duodenum with Nonaut Sub, Endo
    • 0D158KA - Bypass Esophagus to Jejunum with Nonaut Sub, Endo
    • 0D158KB - Bypass Esophagus to Ileum with Nonaut Sub, Endo
  • No Device
    • 0D158Z4 - Bypass Esophagus to Cutaneous, Endo
    • 0D158Z6 - Bypass Esophagus to Stomach, Endo
    • 0D158Z9 - Bypass Esophagus to Duodenum, Endo
    • 0D158ZA - Bypass Esophagus to Jejunum, Endo
    • 0D158ZB - Bypass Esophagus to Ileum, Endo