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ICD-10-PCS 2027 procedure code

0D188KMBypass Small Intestine to Descending Colon with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Bypass Small Intestine to Desc Colon with Nonaut Sub, 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 0D188KM

0D188KM is the ICD-10-PCS code for a bypass procedure on the small intestine using a via natural or artificial opening endoscopic 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 0D1A8KM (jejunum), 0D1B8KM (ileum), 0D1H8KM (cecum), 0D1K8KM (ascending colon), 0D1L8KM (transverse colon) and 0D1M8KM (descending colon).

The same procedure with a different approach is coded 0D180KM (open) and 0D184KM (percutaneous endoscopic).

With a different device, use 0D1887M (autologous tissue substitute), 0D188JM (synthetic substitute) and 0D188ZM (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
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
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 0D188KM

Is 0D188KM a valid ICD-10-PCS code for 2027?

Yes. 0D188KM is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D188KM an O.R. procedure?

Yes. 0D188KM is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D188KM group to?

Depending on the principal diagnosis, 0D188KM can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 628, MS-DRG 629 and MS-DRG 630.