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:

0D16 - Stomach

• 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
    • 0D16074 - Bypass Stomach to Cutaneous with Autol Sub, Open Approach
    • 0D16079 - Bypass Stomach to Duodenum with Autol Sub, Open Approach
    • 0D1607A - Bypass Stomach to Jejunum with Autol Sub, Open Approach
    • 0D1607B - Bypass Stomach to Ileum with Autol Sub, Open Approach
    • 0D1607L - Bypass Stomach to Trans Colon with Autol Sub, Open Approach
  • Synthetic Substitute
    • 0D160J4 - Bypass Stomach to Cutaneous with Synth Sub, Open Approach
    • 0D160J9 - Bypass Stomach to Duodenum with Synth Sub, Open Approach
    • 0D160JA - Bypass Stomach to Jejunum with Synth Sub, Open Approach
    • 0D160JB - Bypass Stomach to Ileum with Synth Sub, Open Approach
    • 0D160JL - Bypass Stomach to Trans Colon with Synth Sub, Open Approach
  • Nonautologous Tissue Substitute
    • 0D160K4 - Bypass Stomach to Cutaneous with Nonaut Sub, Open Approach
    • 0D160K9 - Bypass Stomach to Duodenum with Nonaut Sub, Open Approach
    • 0D160KA - Bypass Stomach to Jejunum with Nonaut Sub, Open Approach
    • 0D160KB - Bypass Stomach to Ileum with Nonaut Sub, Open Approach
    • 0D160KL - Bypass Stomach to Trans Colon with Nonaut Sub, Open Approach
  • No Device
    • 0D160Z4 - Bypass Stomach to Cutaneous, Open Approach
    • 0D160Z9 - Bypass Stomach to Duodenum, Open Approach
    • 0D160ZA - Bypass Stomach to Jejunum, Open Approach
    • 0D160ZB - Bypass Stomach to Ileum, Open Approach
    • 0D160ZL - Bypass Stomach to Transverse Colon, 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
    • 0D163J4 - Bypass Stomach 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
    • 0D16474 - Bypass Stomach to Cutan with Autol Sub, Perc Endo Approach
    • 0D16479 - Bypass Stomach to Duoden with Autol Sub, Perc Endo Approach
    • 0D1647A - Bypass Stomach to Jejunum with Autol Sub, Perc Endo Approach
    • 0D1647B - Bypass Stomach to Ileum with Autol Sub, Perc Endo Approach
    • 0D1647L - Bypass Stomach to Trans Colon w Autol Sub, Perc Endo
  • Synthetic Substitute
    • 0D164J4 - Bypass Stomach to Cutan with Synth Sub, Perc Endo Approach
    • 0D164J9 - Bypass Stomach to Duoden with Synth Sub, Perc Endo Approach
    • 0D164JA - Bypass Stomach to Jejunum with Synth Sub, Perc Endo Approach
    • 0D164JB - Bypass Stomach to Ileum with Synth Sub, Perc Endo Approach
    • 0D164JL - Bypass Stomach to Trans Colon w Synth Sub, Perc Endo
  • Nonautologous Tissue Substitute
    • 0D164K4 - Bypass Stomach to Cutan with Nonaut Sub, Perc Endo Approach
    • 0D164K9 - Bypass Stomach to Duoden with Nonaut Sub, Perc Endo Approach
    • 0D164KA - Bypass Stomach to Jejunum w Nonaut Sub, Perc Endo
    • 0D164KB - Bypass Stomach to Ileum with Nonaut Sub, Perc Endo Approach
    • 0D164KL - Bypass Stomach to Trans Colon w Nonaut Sub, Perc Endo
  • No Device
    • 0D164Z4 - Bypass Stomach to Cutaneous, Perc Endo Approach
    • 0D164Z9 - Bypass Stomach to Duodenum, Percutaneous Endoscopic Approach
    • 0D164ZA - Bypass Stomach to Jejunum, Percutaneous Endoscopic Approach
    • 0D164ZB - Bypass Stomach to Ileum, Percutaneous Endoscopic Approach
    • 0D164ZL - Bypass Stomach to Transverse Colon, Perc Endo 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
    • 0D16874 - Bypass Stomach to Cutaneous with Autol Sub, Endo
    • 0D16879 - Bypass Stomach to Duodenum with Autol Sub, Endo
    • 0D1687A - Bypass Stomach to Jejunum with Autol Sub, Endo
    • 0D1687B - Bypass Stomach to Ileum with Autol Sub, Endo
    • 0D1687L - Bypass Stomach to Transverse Colon with Autol Sub, Endo
  • Synthetic Substitute
    • 0D168J4 - Bypass Stomach to Cutaneous with Synthetic Substitute, Endo
    • 0D168J9 - Bypass Stomach to Duodenum with Synthetic Substitute, Endo
    • 0D168JA - Bypass Stomach to Jejunum with Synthetic Substitute, Endo
    • 0D168JB - Bypass Stomach to Ileum with Synthetic Substitute, Endo
    • 0D168JL - Bypass Stomach to Transverse Colon with Synth Sub, Endo
  • Nonautologous Tissue Substitute
    • 0D168K4 - Bypass Stomach to Cutaneous with Nonaut Sub, Endo
    • 0D168K9 - Bypass Stomach to Duodenum with Nonaut Sub, Endo
    • 0D168KA - Bypass Stomach to Jejunum with Nonaut Sub, Endo
    • 0D168KB - Bypass Stomach to Ileum with Nonaut Sub, Endo
    • 0D168KL - Bypass Stomach to Transverse Colon with Nonaut Sub, Endo
  • No Device
    • 0D168Z4 - Bypass Stomach to Cutaneous, Endo
    • 0D168Z9 - Bypass Stomach to Duodenum, Endo
    • 0D168ZA - Bypass Stomach to Jejunum, Endo
    • 0D168ZB - Bypass Stomach to Ileum, Endo
    • 0D168ZL - Bypass Stomach to Transverse Colon, Endo