0D18078Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Open Approach

Medical and Surgical›Gastrointestinal System›Bypass
  • Billable / Specific Code
ICD-10-PCS 0D18078
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0D18078 is a billable ICD-10-PCS procedure code for Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 18 MS-DRGs. The root operation Bypass involves altering the route of passage of the contents of a tubular body part.

Code Identity

ICD-10-PCS Code
0D18078
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Open Approach
Parent Code
0D1
Short Description
Bypass Small Intest to Small Intest w Autol Sub, Open

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 SystemDGastrointestinal System
3Operation1Bypass
4BodyPart8Small Intestine
5Approach0Open
6Device7Autologous Tissue Substitute
7Qualifier8Small Intestine

Code History

Replaces previously assigned code(s):
  • 0D19079 — Bypass Duodenum to Duodenum with Autol Sub, Open Approach
  • 0D1A07A — Bypass Jejunum to Jejunum with Autol Sub, Open Approach
  • 0D1A07B — Bypass Jejunum to Ileum with Autol Sub, Open Approach
  • 0D1B07B — Bypass Ileum to Ileum with Autol Sub, Open Approach

Similar Procedure Codes

Questions About 0D18078

Is 0D18078 a billable code?

Yes. 0D18078 is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0D18078 mean?

0D18078 breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character D is the Body System (Gastrointestinal System); the 3rd character 1 is the Operation (Bypass); the 4th character 8 is the BodyPart (Small Intestine); the 5th character 0 is the Approach (Open); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character 8 is the Qualifier (Small Intestine).

What MS-DRG does 0D18078 group to?

On an inpatient stay, Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Open Approach maps to MS-DRGs 329, 330, 331, 619, 620, 621, 820, 821, 822, 826, 827, 828, 907, 908, 909, 957, 958, 959, with relative weights from 1.2040 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.