2025 ICD-10-CM Procedure Code 0D188JQ

Bypass Small Intestine to Anus with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

ICD-10-PCS Code:: 0D188JQ
ICD-10-PCS Code for:: Bypass Small Intestine to Anus with Synth Sub, Endo
Is Billable?: Yes - Valid for Submission
Code Navigator:

0D188JQ is a billable procedure code used to specify the performance of bypass small intestine to anus with synthetic substitute, via natural or artificial opening endoscopic. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves altering the route of passage of the contents of a tubular body part. Procedure code explanation: 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 coronary artery bypass, colostomy formation

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Other Similar Codes

0D188JQ PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the gastrointestinal system body system, classified under bypass operation. The applicable bodypart for this procedure code is small intestine.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	D	Gastrointestinal System
3	Operation	1	Bypass	Involves: Altering the route of passage of the contents of a tubular body part Explanation: 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 Includes: Coronary artery bypass, colostomy formation
4	BodyPart	8	Small Intestine
5	Approach	8	Via Natural or Artificial Opening Endoscopic	Involves: Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
6	Device	J	Synthetic Substitute	Includes: AbioCor(R) Total Replacement Heart AMPLATZER(R) Muscular VSD Occluder Annuloplasty ring Bard(R) Composix(R) (E/X)(LP) mesh Bard(R) Composix(R) Kugel(R) patch Bard(R) Dulex(tm) mesh Bard(R) Ventralex(tm) hernia patch Barricaid(R) Annular Closure Device (ACD) BRYAN(R) Cervical Disc System Corvia IASD(R) Ex-PRESS(tm) mini glaucoma shunt Flexible Composite Mesh GORE(R) DUALMESH(R) Holter valve ventricular shunt IASD(R) (InterAtrial Shunt Device), Corvia InterAtrial Shunt Device IASD(R), Corvia LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System MitraClip valve repair system Nitinol framed polymer mesh Open Pivot (mechanical) valve Open Pivot Aortic Valve Graft (AVG) Partially absorbable mesh PHYSIOMESH(tm) Flexible Composite Mesh Polymethylmethacrylate (PMMA) Polypropylene mesh PRESTIGE(R) Cervical Disc PROCEED(tm) Ventral Patch Prodisc-C Prodisc-L PROLENE Polypropylene Hernia System (PHS) Rebound HRD(R) (Hernia Repair Device) SynCardia Total Artificial Heart Total artificial (replacement) heart ULTRAPRO Hernia System (UHS) ULTRAPRO Partially Absorbable Lightweight Mesh ULTRAPRO Plug V-Wave Interatrial Shunt System Ventrio(tm) Hernia Patch Zimmer(R) NexGen(R) LPS Mobile Bearing Knee Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
7	Qualifier	Q	Anus

Replacement Code

0D188JQ replaces the following previously assigned ICD-10-PCS code(s):

0D1A8JQ - Bypass Jejunum to Anus with Synthetic Substitute, Endo
0D1A8JQ - Bypass Jejunum to Anus with Synthetic Substitute, Endo
0D1A8JQ - Bypass Jejunum to Anus with Synthetic Substitute, Endo
0D1A8JQ - Bypass Jejunum to Anus with Synthetic Substitute, Endo
0D1A8JQ - Bypass Jejunum to Anus with Synthetic Substitute, Endo
0D1A8JQ - Bypass Jejunum to Anus with Synthetic Substitute, Endo
0D1B8JQ - Bypass Ileum to Anus with Synthetic Substitute, Endo
0D1B8JQ - Bypass Ileum to Anus with Synthetic Substitute, Endo
0D1B8JQ - Bypass Ileum to Anus with Synthetic Substitute, Endo
0D1B8JQ - Bypass Ileum to Anus with Synthetic Substitute, Endo
0D1B8JQ - Bypass Ileum to Anus with Synthetic Substitute, Endo
0D1B8JQ - Bypass Ileum to Anus with Synthetic Substitute, Endo

Clinical Classification

Clinical Category is Upper GI therapeutic procedures, NEC (endoscopic)
CCSR Category Code: GIS027
Clinical Domain is Gastrointestinal System Procedures - GIS contains 29 categories that include procedures performed on the gastrointestinal (GI) system, such as appendectomy, gastrostomy, and colonoscopy and proctoscopy with biopsy.

0D188JQ is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 0D188JQ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
329	Major Small and Large Bowel Procedures with MCC	06
330	Major Small and Large Bowel Procedures with CC	06
331	Major Small and Large Bowel Procedures without CC/MCC	06
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC	17
821	Lymphoma and Leukemia with Major O.R. Procedures with CC	17
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC	17
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC	17
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC	17
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC	17
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Other ICD-10-PCS Codes Used for Bypass Small Intestine

Filter related codes list:

0D18074 Bypass Small Intestine to Cutaneous with Autologous Tissue Substitute, Open Approach
0D18078 Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Open Approach
0D1807H Bypass Small Intestine to Cecum with Autologous Tissue Substitute, Open Approach
0D1807K Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Open Approach
0D1807L Bypass Small Intestine to Transverse Colon with Autologous Tissue Substitute, Open Approach
0D1807M Bypass Small Intestine to Descending Colon with Autologous Tissue Substitute, Open Approach
0D1807N Bypass Small Intestine to Sigmoid Colon with Autologous Tissue Substitute, Open Approach
0D1807P Bypass Small Intestine to Rectum with Autologous Tissue Substitute, Open Approach
0D1807Q Bypass Small Intestine to Anus with Autologous Tissue Substitute, Open Approach
0D180J4 Bypass Small Intestine to Cutaneous with Synthetic Substitute, Open Approach
0D180J8 Bypass Small Intestine to Small Intestine with Synthetic Substitute, Open Approach
0D180JH Bypass Small Intestine to Cecum with Synthetic Substitute, Open Approach
0D180JK Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Open Approach
0D180JL Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Open Approach
0D180JM Bypass Small Intestine to Descending Colon with Synthetic Substitute, Open Approach
0D180JN Bypass Small Intestine to Sigmoid Colon with Synthetic Substitute, Open Approach
0D180JP Bypass Small Intestine to Rectum with Synthetic Substitute, Open Approach
0D180JQ Bypass Small Intestine to Anus with Synthetic Substitute, Open Approach
0D180K4 Bypass Small Intestine to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D180K8 Bypass Small Intestine to Small Intestine with Nonautologous Tissue Substitute, Open Approach
0D180KH Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Open Approach
0D180KK Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Open Approach
0D180KL Bypass Small Intestine to Transverse Colon with Nonautologous Tissue Substitute, Open Approach
0D180KM Bypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Open Approach
0D180KN Bypass Small Intestine to Sigmoid Colon with Nonautologous Tissue Substitute, Open Approach
0D180KP Bypass Small Intestine to Rectum with Nonautologous Tissue Substitute, Open Approach
0D180KQ Bypass Small Intestine to Anus with Nonautologous Tissue Substitute, Open Approach
0D180Z4 Bypass Small Intestine to Cutaneous, Open Approach
0D180Z8 Bypass Small Intestine to Small Intestine, Open Approach
0D180ZH Bypass Small Intestine to Cecum, Open Approach
0D180ZK Bypass Small Intestine to Ascending Colon, Open Approach
0D180ZL Bypass Small Intestine to Transverse Colon, Open Approach
0D180ZM Bypass Small Intestine to Descending Colon, Open Approach
0D180ZN Bypass Small Intestine to Sigmoid Colon, Open Approach
0D180ZP Bypass Small Intestine to Rectum, Open Approach
0D180ZQ Bypass Small Intestine to Anus, Open Approach
0D18474 Bypass Small Intestine to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D18478 Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1847H Bypass Small Intestine to Cecum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1847K Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1847L Bypass Small Intestine to Transverse Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1847M Bypass Small Intestine to Descending Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1847N Bypass Small Intestine to Sigmoid Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1847P Bypass Small Intestine to Rectum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1847Q Bypass Small Intestine to Anus with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184J4 Bypass Small Intestine to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184J8 Bypass Small Intestine to Small Intestine with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184JH Bypass Small Intestine to Cecum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184JK Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184JL Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184JM Bypass Small Intestine to Descending Colon with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184JN Bypass Small Intestine to Sigmoid Colon with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184JP Bypass Small Intestine to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184JQ Bypass Small Intestine to Anus with Synthetic Substitute, Percutaneous Endoscopic Approach
0D184K4 Bypass Small Intestine to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184K8 Bypass Small Intestine to Small Intestine with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184KH Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184KK Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184KL Bypass Small Intestine to Transverse Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184KM Bypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184KN Bypass Small Intestine to Sigmoid Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184KP Bypass Small Intestine to Rectum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184KQ Bypass Small Intestine to Anus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D184Z4 Bypass Small Intestine to Cutaneous, Percutaneous Endoscopic Approach
0D184Z8 Bypass Small Intestine to Small Intestine, Percutaneous Endoscopic Approach
0D184ZH Bypass Small Intestine to Cecum, Percutaneous Endoscopic Approach
0D184ZK Bypass Small Intestine to Ascending Colon, Percutaneous Endoscopic Approach
0D184ZL Bypass Small Intestine to Transverse Colon, Percutaneous Endoscopic Approach
0D184ZM Bypass Small Intestine to Descending Colon, Percutaneous Endoscopic Approach
0D184ZN Bypass Small Intestine to Sigmoid Colon, Percutaneous Endoscopic Approach
0D184ZP Bypass Small Intestine to Rectum, Percutaneous Endoscopic Approach
0D184ZQ Bypass Small Intestine to Anus, Percutaneous Endoscopic Approach
0D18874 Bypass Small Intestine to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D18878 Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1887H Bypass Small Intestine to Cecum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1887K Bypass Small Intestine to Ascending Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1887L Bypass Small Intestine to Transverse Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1887M Bypass Small Intestine to Descending Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1887N Bypass Small Intestine to Sigmoid Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1887P Bypass Small Intestine to Rectum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1887Q Bypass Small Intestine to Anus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188J4 Bypass Small Intestine to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188J8 Bypass Small Intestine to Small Intestine with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188JH Bypass Small Intestine to Cecum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188JK Bypass Small Intestine to Ascending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188JL Bypass Small Intestine to Transverse Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188JM Bypass Small Intestine to Descending Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188JN Bypass Small Intestine to Sigmoid Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188JP Bypass Small Intestine to Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D188K4 Bypass Small Intestine to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188K8 Bypass Small Intestine to Small Intestine with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188KH Bypass Small Intestine to Cecum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188KK Bypass Small Intestine to Ascending Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188KL Bypass Small Intestine to Transverse Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188KM Bypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188KN Bypass Small Intestine to Sigmoid Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188KP Bypass Small Intestine to Rectum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188KQ Bypass Small Intestine to Anus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D188Z4 Bypass Small Intestine to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D188Z8 Bypass Small Intestine to Small Intestine, Via Natural or Artificial Opening Endoscopic
0D188ZH Bypass Small Intestine to Cecum, Via Natural or Artificial Opening Endoscopic
0D188ZK Bypass Small Intestine to Ascending Colon, Via Natural or Artificial Opening Endoscopic
0D188ZL Bypass Small Intestine to Transverse Colon, Via Natural or Artificial Opening Endoscopic
0D188ZM Bypass Small Intestine to Descending Colon, Via Natural or Artificial Opening Endoscopic
0D188ZN Bypass Small Intestine to Sigmoid Colon, Via Natural or Artificial Opening Endoscopic
0D188ZP Bypass Small Intestine to Rectum, Via Natural or Artificial Opening Endoscopic
0D188ZQ Bypass Small Intestine to Anus, Via Natural or Artificial Opening Endoscopic

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.