2025 ICD-10-CM Procedure Code 0D198ZA

Bypass Duodenum to Jejunum, Via Natural or Artificial Opening Endoscopic

ICD-10-PCS Code:: 0D198ZA
ICD-10-PCS Code for:: Bypass Duodenum to Jejunum, Endo
Is Billable?: Yes - Valid for Submission
Code Navigator:

0D198ZA is a billable procedure code used to specify the performance of bypass duodenum to jejunum, 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
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

0D198ZA 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 duodenum.

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	9	Duodenum
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	Z	No Device	Explanation: The value Z is used for the sixth character to indicate that a specific device does not apply to the procedure.
7	Qualifier	A	Jejunum

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.

0D198ZA 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 0D198ZA 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
619	O.R. Procedures for Obesity with MCC	10
620	O.R. Procedures for Obesity with CC	10
621	O.R. Procedures for Obesity without CC/MCC	10
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

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 4591 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Bypass Duodenum

Filter related codes list:

0D19074 Bypass Duodenum to Cutaneous with Autologous Tissue Substitute, Open Approach
0D19079 Bypass Duodenum to Duodenum with Autologous Tissue Substitute, Open Approach
0D1907A Bypass Duodenum to Jejunum with Autologous Tissue Substitute, Open Approach
0D1907B Bypass Duodenum to Ileum with Autologous Tissue Substitute, Open Approach
0D1907L Bypass Duodenum to Transverse Colon with Autologous Tissue Substitute, Open Approach
0D190J4 Bypass Duodenum to Cutaneous with Synthetic Substitute, Open Approach
0D190J9 Bypass Duodenum to Duodenum with Synthetic Substitute, Open Approach
0D190JA Bypass Duodenum to Jejunum with Synthetic Substitute, Open Approach
0D190JB Bypass Duodenum to Ileum with Synthetic Substitute, Open Approach
0D190JL Bypass Duodenum to Transverse Colon with Synthetic Substitute, Open Approach
0D190K4 Bypass Duodenum to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D190K9 Bypass Duodenum to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D190KA Bypass Duodenum to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D190KB Bypass Duodenum to Ileum with Nonautologous Tissue Substitute, Open Approach
0D190KL Bypass Duodenum to Transverse Colon with Nonautologous Tissue Substitute, Open Approach
0D190Z4 Bypass Duodenum to Cutaneous, Open Approach
0D190Z9 Bypass Duodenum to Duodenum, Open Approach
0D190ZA Bypass Duodenum to Jejunum, Open Approach
0D190ZB Bypass Duodenum to Ileum, Open Approach
0D190ZL Bypass Duodenum to Transverse Colon, Open Approach
0D193J4 Bypass Duodenum to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D19474 Bypass Duodenum to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D19479 Bypass Duodenum to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1947A Bypass Duodenum to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1947B Bypass Duodenum to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1947L Bypass Duodenum to Transverse Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D194J4 Bypass Duodenum to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D194J9 Bypass Duodenum to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D194JA Bypass Duodenum to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D194JB Bypass Duodenum to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D194JL Bypass Duodenum to Transverse Colon with Synthetic Substitute, Percutaneous Endoscopic Approach
0D194K4 Bypass Duodenum to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D194K9 Bypass Duodenum to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D194KA Bypass Duodenum to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D194KB Bypass Duodenum to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D194KL Bypass Duodenum to Transverse Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D194Z4 Bypass Duodenum to Cutaneous, Percutaneous Endoscopic Approach
0D194Z9 Bypass Duodenum to Duodenum, Percutaneous Endoscopic Approach
0D194ZA Bypass Duodenum to Jejunum, Percutaneous Endoscopic Approach
0D194ZB Bypass Duodenum to Ileum, Percutaneous Endoscopic Approach
0D194ZL Bypass Duodenum to Transverse Colon, Percutaneous Endoscopic Approach
0D19874 Bypass Duodenum to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D19879 Bypass Duodenum to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1987A Bypass Duodenum to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1987B Bypass Duodenum to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1987L Bypass Duodenum to Transverse Colon with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D198J4 Bypass Duodenum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D198J9 Bypass Duodenum to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D198JA Bypass Duodenum to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D198JB Bypass Duodenum to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D198JL Bypass Duodenum to Transverse Colon with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D198K4 Bypass Duodenum to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D198K9 Bypass Duodenum to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D198KA Bypass Duodenum to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D198KB Bypass Duodenum to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D198KL Bypass Duodenum to Transverse Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D198Z4 Bypass Duodenum to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D198Z9 Bypass Duodenum to Duodenum, Via Natural or Artificial Opening Endoscopic
0D198ZB Bypass Duodenum to Ileum, Via Natural or Artificial Opening Endoscopic
0D198ZL Bypass Duodenum to Transverse Colon, 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.