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ICD-10-PCS 2027 procedure code

0D168K4Bypass Stomach to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Bypass Stomach to Cutaneous with Nonaut Sub, 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 0D168K4

0D168K4 is the ICD-10-PCS code for a bypass procedure on the stomach using a via natural or artificial opening 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 0D118K4 (esophagus, upper), 0D128K4 (esophagus, middle), 0D138K4 (esophagus, lower), 0D158K4 (esophagus), 0D188K4 (small intestine), 0D198K4 (duodenum) and 8 more.

The same procedure with a different approach is coded 0D160K4 (open) and 0D164K4 (percutaneous endoscopic).

With a different device, use 0D16874 (autologous tissue substitute), 0D168J4 (synthetic substitute) and 0D168Z4 (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
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening 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 0D168K4

Is 0D168K4 a valid ICD-10-PCS code for 2027?

Yes. 0D168K4 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0D168K4?

The CMS GEMs map 0D168K4 to ICD-9-CM 43.19 (Other gastrostomy).