0D1N4JPBypass Sigmoid Colon to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0D1N4JP
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0D1N4JP is a billable ICD-10-PCS procedure code for Bypass Sigmoid Colon to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 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
0D1N4JP
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Sigmoid Colon to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach
Parent Code
Short Description
Bypass Sigmoid Colon to Rectum w Synth Sub, Perc Endo

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
4BodyPartNSigmoid Colon
5Approach4Percutaneous Endoscopic
6DeviceJSynthetic Substitute
7QualifierPRectum

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0D1N4JP under the General Equivalence Mappings.

45.94
Approximate match.

Code History

Replaced in the FY 2026 code set by:
  • 0D1E4JE — Bypass Lg Intest to Lg Intest w Synth Sub, Perc Endo
  • 0D1E4JP — Bypass Lg Intest to Rectum w Synth Sub, Perc Endo

Similar Procedure Codes

Questions About 0D1N4JP

Is 0D1N4JP a billable code?

Yes. 0D1N4JP is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Sigmoid Colon to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0D1N4JP mean?

0D1N4JP 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 N is the BodyPart (Sigmoid Colon); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character P is the Qualifier (Rectum).

What MS-DRG does 0D1N4JP group to?

On an inpatient stay, Bypass Sigmoid Colon to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 329, 330, 331, 628, 629, 630, 907, 908, 909, with relative weights from 1.3127 to 4.5965. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0D1N4JP?

Under the General Equivalence Mappings, Bypass Sigmoid Colon to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 45.94. The mapping is approximate, so confirm it fits the documentation.