ICD-10-PCS 2027 procedure code
0D180ZQBypass Small Intestine to Anus, Open Approach
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 0D180ZQ
0D180ZQ is the ICD-10-PCS code for a bypass procedure on the small intestine using an open approach (qualifier: anus). 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 0D1A0ZQ (jejunum) and 0D1B0ZQ (ileum).
The same procedure with a different approach is coded 0D184ZQ (percutaneous endoscopic) and 0D188ZQ (via natural or artificial opening endoscopic).
With a different device, use 0D1807Q (autologous tissue substitute), 0D180JQ (synthetic substitute) and 0D180KQ (nonautologous tissue substitute).
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 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 “Major Small and Large Bowel Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 2 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
- ZNo Device
- 7. Qualifier
- QAnus
Other versions of this procedure
Different body part
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 06 · Diseases and Disorders of the Digestive System · Major Small and Large Bowel Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2020 (effective 10/1/2019): Added
- No changes since FY2020.
Common questions about 0D180ZQ
Is 0D180ZQ a valid ICD-10-PCS code for 2027?
- Yes. 0D180ZQ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0D180ZQ an O.R. procedure?
- Yes. 0D180ZQ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0D180ZQ group to?
- Depending on the principal diagnosis, 0D180ZQ can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 820, MS-DRG 821 and MS-DRG 822.