Skip to content
Dx

ICD-10-PCS 2027 procedure code

0D18478Bypass Small Intestine to Small Intestine with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Small Intest to Small Intest w Autol Sub, Perc Endo

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 0D18478

0D18478 is the ICD-10-PCS code for a bypass procedure on the small intestine using a percutaneous endoscopic approach with autologous tissue substitute (qualifier: small intestine). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

The same procedure with a different approach is coded 0D18078 (open) and 0D18878 (via natural or artificial opening endoscopic).

With a different device, use 0D184J8 (synthetic substitute), 0D184K8 (nonautologous tissue substitute) and 0D184Z8 (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 619 (O.R. Procedures for Obesity with MCC), DRG 620 (O.R. Procedures for Obesity with CC) and DRG 621 (O.R. Procedures for Obesity without CC/MCC), under the surgical categories “Major Small and Large Bowel Procedures”, “O.R. Procedures for Obesity”, “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
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
8Small Intestine

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

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 0D18478

Is 0D18478 a valid ICD-10-PCS code for 2027?

Yes. 0D18478 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D18478 an O.R. procedure?

Yes. 0D18478 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D18478 group to?

Depending on the principal diagnosis, 0D18478 can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 619, MS-DRG 620 and MS-DRG 621.