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ICD-10-PCS 2027 procedure code

001U476Bypass Spinal Canal to Peritoneal Cavity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Spinal Canal to Periton Cav w Autol Sub, Perc Endo

Code last changed in FY2019 (effective October 1, 2018). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 001U476

001U476 is the ICD-10-PCS code for a bypass procedure on the spinal canal using a percutaneous endoscopic approach with autologous tissue substitute (qualifier: peritoneal cavity). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

For a different body part, codes include 0016476 (cerebral ventricle).

The same procedure with a different approach is coded 001U076 (open) and 001U376 (percutaneous).

With a different device, use 001U4J6 (synthetic substitute) and 001U4K6 (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Spinal Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures”.

It was added in FY2019, effective October 1, 2018.

What each character means

1. Section
0Medical and Surgical
2. Body System
0Central Nervous System and Cranial Nerves
3. Operation
1Bypass

Altering the route of passage of the contents of a tubular body part

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. Body Part
USpinal Canal

Includes: Epidural space, spinal; Extradural space, spinal; Subarachnoid space, spinal; Subdural space, spinal; Vertebral canal

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
6Peritoneal Cavity

Other versions of this procedure

Different body part

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2019 (effective 10/1/2018): Added
  • No changes since FY2019.

Common questions about 001U476

Is 001U476 a valid ICD-10-PCS code for 2027?

Yes. 001U476 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 001U476 an O.R. procedure?

Yes. 001U476 is an O.R. procedure in MS-DRG v44.0.

What DRG does 001U476 group to?

Depending on the principal diagnosis, 001U476 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 820, MS-DRG 821 and MS-DRG 822.