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  6. 0T130JA
  • Version 2025
  • Billable Code

2025 ICD-10-CM Procedure Code 0T130JA

Bypass Right Kidney Pelvis to Ileum with Synthetic Substitute, Open Approach

ICD-10-PCS Code:
0T130JA
ICD-10-PCS Code for:
Bypass R Kidney Pelvis to Ileum w Synth Sub, Open
Is Billable?
Yes - Valid for Submission
Code Navigator:

0T130JA is a billable procedure code used to specify the performance of bypass right kidney pelvis to ileum with synthetic substitute, open approach. 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

0T130JA 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 urinary system body system, classified under bypass operation. The applicable bodypart for this procedure code is kidney pelvis, right.

Position Designation Character Label Procedures Notes
1 Section 0 Medical and Surgical
2 Body System T Urinary 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 3 Kidney Pelvis, Right Includes:
  • Ureteropelvic junction (UPJ)
5 Approach 0 Open

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose 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 A Ileum

Clinical Classification

Urinary diversion with anastomosis or ostomy

CCSR Code: URN010

Clinical Domain: Urinary System Procedures URN contains 12 categories that include procedures performed on the urinary system, such as kidney transplant, nephrectomy and ureter resection, and removal of calculi from urinary tract.

Convert to ICD-9-PCS

Below are the ICD-9=PCS code(s) that most closely match this ICD-10-PCS code, based on the General Equivalence Mappings (GEMs). This ICD-10-PCS to ICD-9-PCS crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

ICD-9-PCS Code

Code: 5586

Approximate Flag: This is an approximate match. The ICD-9-PCS code reflects a close but not exact equivalent of the ICD-10-PCS procedure.

Other ICD-10-PCS Codes Used for Bypass Kidney Pelvis, Right


  • 0T13073 Bypass Right Kidney Pelvis to Right Kidney Pelvis with Autologous Tissue Substitute, Open Approach

  • 0T13074 Bypass Right Kidney Pelvis to Left Kidney Pelvis with Autologous Tissue Substitute, Open Approach

  • 0T13076 Bypass Right Kidney Pelvis to Right Ureter with Autologous Tissue Substitute, Open Approach

  • 0T13077 Bypass Right Kidney Pelvis to Left Ureter with Autologous Tissue Substitute, Open Approach

  • 0T13078 Bypass Right Kidney Pelvis to Colon with Autologous Tissue Substitute, Open Approach

  • 0T13079 Bypass Right Kidney Pelvis to Colocutaneous with Autologous Tissue Substitute, Open Approach

  • 0T1307A Bypass Right Kidney Pelvis to Ileum with Autologous Tissue Substitute, Open Approach

  • 0T1307B Bypass Right Kidney Pelvis to Bladder with Autologous Tissue Substitute, Open Approach

  • 0T1307C Bypass Right Kidney Pelvis to Ileocutaneous with Autologous Tissue Substitute, Open Approach

  • 0T1307D Bypass Right Kidney Pelvis to Cutaneous with Autologous Tissue Substitute, Open Approach

  • 0T130J3 Bypass Right Kidney Pelvis to Right Kidney Pelvis with Synthetic Substitute, Open Approach

  • 0T130J4 Bypass Right Kidney Pelvis to Left Kidney Pelvis with Synthetic Substitute, Open Approach

  • 0T130J6 Bypass Right Kidney Pelvis to Right Ureter with Synthetic Substitute, Open Approach

  • 0T130J7 Bypass Right Kidney Pelvis to Left Ureter with Synthetic Substitute, Open Approach

  • 0T130J8 Bypass Right Kidney Pelvis to Colon with Synthetic Substitute, Open Approach

  • 0T130J9 Bypass Right Kidney Pelvis to Colocutaneous with Synthetic Substitute, Open Approach

  • 0T130JB Bypass Right Kidney Pelvis to Bladder with Synthetic Substitute, Open Approach

  • 0T130JC Bypass Right Kidney Pelvis to Ileocutaneous with Synthetic Substitute, Open Approach

  • 0T130JD Bypass Right Kidney Pelvis to Cutaneous with Synthetic Substitute, Open Approach

  • 0T130K3 Bypass Right Kidney Pelvis to Right Kidney Pelvis with Nonautologous Tissue Substitute, Open Approach

  • 0T130K4 Bypass Right Kidney Pelvis to Left Kidney Pelvis with Nonautologous Tissue Substitute, Open Approach

  • 0T130K6 Bypass Right Kidney Pelvis to Right Ureter with Nonautologous Tissue Substitute, Open Approach

  • 0T130K7 Bypass Right Kidney Pelvis to Left Ureter with Nonautologous Tissue Substitute, Open Approach

  • 0T130K8 Bypass Right Kidney Pelvis to Colon with Nonautologous Tissue Substitute, Open Approach

  • 0T130K9 Bypass Right Kidney Pelvis to Colocutaneous with Nonautologous Tissue Substitute, Open Approach

  • 0T130KA Bypass Right Kidney Pelvis to Ileum with Nonautologous Tissue Substitute, Open Approach

  • 0T130KB Bypass Right Kidney Pelvis to Bladder with Nonautologous Tissue Substitute, Open Approach

  • 0T130KC Bypass Right Kidney Pelvis to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach

  • 0T130KD Bypass Right Kidney Pelvis to Cutaneous with Nonautologous Tissue Substitute, Open Approach

  • 0T130Z3 Bypass Right Kidney Pelvis to Right Kidney Pelvis, Open Approach

  • 0T130Z4 Bypass Right Kidney Pelvis to Left Kidney Pelvis, Open Approach

  • 0T130Z6 Bypass Right Kidney Pelvis to Right Ureter, Open Approach

  • 0T130Z7 Bypass Right Kidney Pelvis to Left Ureter, Open Approach

  • 0T130Z8 Bypass Right Kidney Pelvis to Colon, Open Approach

  • 0T130Z9 Bypass Right Kidney Pelvis to Colocutaneous, Open Approach

  • 0T130ZA Bypass Right Kidney Pelvis to Ileum, Open Approach

  • 0T130ZB Bypass Right Kidney Pelvis to Bladder, Open Approach

  • 0T130ZC Bypass Right Kidney Pelvis to Ileocutaneous, Open Approach

  • 0T130ZD Bypass Right Kidney Pelvis to Cutaneous, Open Approach

  • 0T133JD Bypass Right Kidney Pelvis to Cutaneous with Synthetic Substitute, Percutaneous Approach

  • 0T13473 Bypass Right Kidney Pelvis to Right Kidney Pelvis with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T13474 Bypass Right Kidney Pelvis to Left Kidney Pelvis with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T13476 Bypass Right Kidney Pelvis to Right Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T13477 Bypass Right Kidney Pelvis to Left Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T13478 Bypass Right Kidney Pelvis to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T13479 Bypass Right Kidney Pelvis to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T1347A Bypass Right Kidney Pelvis to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T1347B Bypass Right Kidney Pelvis to Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T1347C Bypass Right Kidney Pelvis to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T1347D Bypass Right Kidney Pelvis to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134J3 Bypass Right Kidney Pelvis to Right Kidney Pelvis with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134J4 Bypass Right Kidney Pelvis to Left Kidney Pelvis with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134J6 Bypass Right Kidney Pelvis to Right Ureter with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134J7 Bypass Right Kidney Pelvis to Left Ureter with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134J8 Bypass Right Kidney Pelvis to Colon with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134J9 Bypass Right Kidney Pelvis to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134JA Bypass Right Kidney Pelvis to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134JB Bypass Right Kidney Pelvis to Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134JC Bypass Right Kidney Pelvis to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134JD Bypass Right Kidney Pelvis to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 0T134K3 Bypass Right Kidney Pelvis to Right Kidney Pelvis with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134K4 Bypass Right Kidney Pelvis to Left Kidney Pelvis with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134K6 Bypass Right Kidney Pelvis to Right Ureter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134K7 Bypass Right Kidney Pelvis to Left Ureter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134K8 Bypass Right Kidney Pelvis to Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134K9 Bypass Right Kidney Pelvis to Colocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134KA Bypass Right Kidney Pelvis to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134KB Bypass Right Kidney Pelvis to Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134KC Bypass Right Kidney Pelvis to Ileocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134KD Bypass Right Kidney Pelvis to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0T134Z3 Bypass Right Kidney Pelvis to Right Kidney Pelvis, Percutaneous Endoscopic Approach

  • 0T134Z4 Bypass Right Kidney Pelvis to Left Kidney Pelvis, Percutaneous Endoscopic Approach

  • 0T134Z6 Bypass Right Kidney Pelvis to Right Ureter, Percutaneous Endoscopic Approach

  • 0T134Z7 Bypass Right Kidney Pelvis to Left Ureter, Percutaneous Endoscopic Approach

  • 0T134Z8 Bypass Right Kidney Pelvis to Colon, Percutaneous Endoscopic Approach

  • 0T134Z9 Bypass Right Kidney Pelvis to Colocutaneous, Percutaneous Endoscopic Approach

  • 0T134ZA Bypass Right Kidney Pelvis to Ileum, Percutaneous Endoscopic Approach

  • 0T134ZB Bypass Right Kidney Pelvis to Bladder, Percutaneous Endoscopic Approach

  • 0T134ZC Bypass Right Kidney Pelvis to Ileocutaneous, Percutaneous Endoscopic Approach

  • 0T134ZD Bypass Right Kidney Pelvis to Cutaneous, Percutaneous Endoscopic Approach

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.