0D188Z4Bypass Small Intestine to Cutaneous, Via Natural or Artificial Opening Endoscopic
- Billable / Specific Code
0D188Z4 is a billable ICD-10-PCS procedure code for Bypass Small Intestine to Cutaneous, Via Natural or Artificial Opening Endoscopic. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 15 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 Ileostomy and colostomy.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | D | Gastrointestinal System |
| 3 | Operation | 1 | Bypass |
| 4 | BodyPart | 8 | Small Intestine |
| 5 | Approach | 8 | Via Natural or Artificial Opening Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | 4 | Cutaneous |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
Similar Procedure Codes
Questions About 0D188Z4
Is 0D188Z4 a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Small Intestine to Cutaneous, Via Natural or Artificial Opening Endoscopic on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0D188Z4 mean?
The code 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 8 is the Approach (Via Natural or Artificial Opening Endoscopic); the 6th character Z is the Device (No Device); the 7th character 4 is the Qualifier (Cutaneous).
What MS-DRG does 0D188Z4 group to?
On an inpatient stay, Bypass Small Intestine to Cutaneous, Via Natural or Artificial Opening Endoscopic maps to MS-DRGs 329, 330, 331, 820, 821, 822, 826, 827, 828, 907, 908, 909, 957, 958, 959, with relative weights from 1.1267 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
