0T18478Bypass Bilateral Ureters to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
0T18478 is a billable ICD-10-PCS procedure code for Bypass Bilateral Ureters to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 24 MS-DRGs. The root operation Bypass involves altering the route of passage of the contents of a tubular body part.
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 | T | Urinary System |
| 3 | Operation | 1 | Bypass |
| 4 | BodyPart | 8 | Ureters, Bilateral |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | 7 | Autologous Tissue Substitute |
| 7 | Qualifier | 8 | Colon |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 0T18478 under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0T18478
Is 0T18478 a billable code?
Yes. 0T18478 is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Bilateral Ureters to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0T18478 mean?
0T18478 breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character T is the Body System (Urinary System); the 3rd character 1 is the Operation (Bypass); the 4th character 8 is the BodyPart (Ureters, Bilateral); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character 8 is the Qualifier (Colon).
What MS-DRG does 0T18478 group to?
On an inpatient stay, Bypass Bilateral Ureters to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 656, 657, 658, 659, 660, 661, 715, 716, 717, 718, 749, 750, 820, 821, 822, 826, 827, 828, 907, 908, 909, 957, 958, 959, with relative weights from 1.0354 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0T18478?
Under the General Equivalence Mappings, Bypass Bilateral Ureters to Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 56.71. The mapping is approximate, so confirm it fits the documentation.
