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ICD-10-PCS 2027 procedure code

0D164KLBypass Stomach to Transverse Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Stomach to Trans Colon w Nonaut Sub, Perc Endo

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 0D164KL

0D164KL is the ICD-10-PCS code for a bypass procedure on the stomach using a percutaneous endoscopic approach with nonautologous tissue substitute (qualifier: transverse colon). 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 laparoscopic gastroenterostomy, the ICD-9-CM procedure title it maps to (44.38).

For a different body part, codes include 0D184KL (small intestine), 0D194KL (duodenum), 0D1A4KL (jejunum), 0D1B4KL (ileum), 0D1H4KL (cecum), 0D1K4KL (ascending colon) and 1 more.

The same procedure with a different approach is coded 0D160KL (open) and 0D168KL (via natural or artificial opening endoscopic).

With a different device, use 0D1647L (autologous tissue substitute), 0D164JL (synthetic substitute) and 0D164ZL (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC), DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC) and DRG 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “Stomach, Esophageal and Duodenal Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures” and 3 more.

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
LTransverse Colon

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

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

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · O.R. Procedures for Obesity

ICD-9-CM equivalent

Converter →
  • 44.38Laparoscopic gastroenterostomyapproximate

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 0D164KL

Is 0D164KL a valid ICD-10-PCS code for 2027?

Yes. 0D164KL is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D164KL an O.R. procedure?

Yes. 0D164KL is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D164KL group to?

Depending on the principal diagnosis, 0D164KL can group to MS-DRG 361, MS-DRG 362, MS-DRG 326, MS-DRG 327, MS-DRG 328 and MS-DRG 423.

What is the ICD-9 procedure code for 0D164KL?

The CMS GEMs map 0D164KL to ICD-9-CM 44.38 (Laparoscopic gastroenterostomy).