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ICD-10-PCS 2027 procedure code

0D180KMBypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Small Intest to Desc Colon w Nonaut Sub, Open

Code last changed in FY2020 (effective October 1, 2019). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0D180KM

0D180KM is the ICD-10-PCS code for a bypass procedure on the small intestine using an open approach with nonautologous tissue substitute (qualifier: descending colon). 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 0D1A0KM (jejunum), 0D1B0KM (ileum), 0D1H0KM (cecum), 0D1K0KM (ascending colon), 0D1L0KM (transverse colon) and 0D1M0KM (descending colon).

The same procedure with a different approach is coded 0D184KM (percutaneous endoscopic) and 0D188KM (via natural or artificial opening endoscopic).

With a different device, use 0D1807M (autologous tissue substitute), 0D180JM (synthetic substitute) and 0D180ZM (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 329 (Major Small and Large Bowel Procedures with MCC), DRG 330 (Major Small and Large Bowel Procedures with CC), DRG 331 (Major Small and Large Bowel Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Major Small and Large Bowel Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

It was added in FY2020, effective October 1, 2019.

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
8Small Intestine
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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
MDescending 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.

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
  • FY2020 (effective 10/1/2019): Added
  • No changes since FY2020.

Common questions about 0D180KM

Is 0D180KM a valid ICD-10-PCS code for 2027?

Yes. 0D180KM is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D180KM an O.R. procedure?

Yes. 0D180KM is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D180KM group to?

Depending on the principal diagnosis, 0D180KM can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 628, MS-DRG 629 and MS-DRG 630.