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ICD-10-PCS 2027 procedure code

0D164K4Bypass Stomach to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Bypass Stomach to Cutan with Nonaut Sub, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0D164K4

0D164K4 is the ICD-10-PCS code for a bypass procedure on the stomach using a percutaneous endoscopic approach with nonautologous tissue substitute (qualifier: cutaneous). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to other gastrostomy, the ICD-9-CM procedure title it maps to (43.19).

For a different body part, codes include 0D114K4 (esophagus, upper), 0D124K4 (esophagus, middle), 0D134K4 (esophagus, lower), 0D154K4 (esophagus), 0D184K4 (small intestine), 0D194K4 (duodenum) and 8 more.

The same procedure with a different approach is coded 0D160K4 (open) and 0D168K4 (via natural or artificial opening endoscopic).

With a different device, use 0D16474 (autologous tissue substitute), 0D164J4 (synthetic substitute) and 0D164Z4 (no device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
DGastrointestinal System
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
6Stomach
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
4Cutaneous

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 43.19Other gastrostomyapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0D164K4

Is 0D164K4 a valid ICD-10-PCS code for 2027?

Yes. 0D164K4 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0D164K4?

The CMS GEMs map 0D164K4 to ICD-9-CM 43.19 (Other gastrostomy).