0B114Z4Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0B114Z4
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0B114Z4 is a billable ICD-10-PCS procedure code for Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 5 MS-DRGs. The root operation Bypass involves altering the route of passage of the contents of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Respiratory system procedures, NEC.

Code Identity

ICD-10-PCS Code
0B114Z4
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach
Short Description
Bypass Trachea to Cutaneous, Perc Endo Approach
Parent Code
0B1 Respiratory System, Bypass

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemBRespiratory System
3Operation1Bypass
4BodyPart1Trachea
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7Qualifier4Cutaneous

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Leads to this code's table
Bypass, Trachea
Leads to this code's table
Fistulization, Tracheoesophageal
Leads to this code's table
Leads to this code's table
Leads to this code's table
Tracheostomy Device, Bypass, Trachea
Leads to this code's table

To code fistulization of the tracheoesophageal, open the FY 2027 ICD-10-PCS Alphabetic Index at Fistulization, then the subterm Tracheoesophageal. The index leads to table 0B1, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0B114Z4.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

RES014
Respiratory system procedures, NEC
Clinical domain: Respiratory System Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

31.1
Temporary tracheostomy
Approximate match.
31.29
Other permanent tracheostomy
Approximate match.

Similar Procedure Codes

Questions About 0B114Z4

Is 0B114Z4 a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0B114Z4 mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character B is the Body System (Respiratory System); the 3rd character 1 is the Operation (Bypass); the 4th character 1 is the BodyPart (Trachea); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character 4 is the Qualifier (Cutaneous).

What MS-DRG does 0B114Z4 group to?

On an inpatient stay, Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach maps to MS-DRGs 003, 004, 011, 012, 013, with relative weights from 2.7296 to 21.2739. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0B114Z4?

Under the General Equivalence Mappings, Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 31.1 (Temporary tracheostomy) and 31.29 (Other permanent tracheostomy). The mapping is approximate, so confirm it fits the documentation.