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ICD 10 Code 0D164KB

Bypass Stomach to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
“Bypass Stomach to Ileum with Nonaut Sub, Perc Endo Approach” for short

0D164KB is a valid billable ICD-10 procedure code for Bypass Stomach to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Bypass involves:
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

Percutaneous Endoscopic approach involves:
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

Bypass includes:

  • Coronary artery bypass, colostomy formation

Nonautologous Tissue Substitute device 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
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Circulatory O.R. Procedures
    • DRG 264 - OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
  • MDC 06 Diseases & Disorders of the Digestive System
    Stomach, Esophageal and Duodenal Procedures
    • DRG 326 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
    • DRG 327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
    • DRG 328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
  • MDC 07 Diseases & Disorders of the Hepatobiliary System & Pancreas
    Other Hepatobiliary or Pancreas Procedures
    • DRG 423 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
    • DRG 424 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
    • DRG 425 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders
    Procedures for Obesity
    • DRG 619 - O.R. PROCEDURES FOR OBESITY WITH MCC
    • DRG 620 - O.R. PROCEDURES FOR OBESITY WITH CC
    • DRG 621 - O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Lymphoma and Leukemia with Major Procedure
    • DRG 820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
    • DRG 826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC

ICD-10-PCS code structure for 0D164KB — See Table View

1: Section 0 Medical and Surgical
2: Body System D Gastrointestinal System
3: Root Operation 1 Bypass
4: Body Part 6 Stomach
5: Approach 4 Percutaneous Endoscopic
6: Device K Nonautologous Tissue Substitute
7: Qualifier B Ileum

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.