Skip to content
Dx

ICD-10-PCS 2027 procedure code

0D190ZBBypass Duodenum to Ileum, Open Approach

✓ Valid for 2027O.R. procedure

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 0D190ZB

0D190ZB is the ICD-10-PCS code for a bypass procedure on the duodenum using an open approach (qualifier: ileum). 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 Small-to-small intestinal anastomosis, the ICD-9-CM procedure title it maps to (45.91).

For a different body part, codes include 0D110ZB (esophagus, upper), 0D120ZB (esophagus, middle), 0D130ZB (esophagus, lower), 0D150ZB (esophagus), 0D160ZB (stomach), 0D1A0ZB (jejunum) and 1 more.

The same procedure with a different approach is coded 0D194ZB (percutaneous endoscopic) and 0D198ZB (via natural or artificial opening endoscopic).

With a different device, use 0D1907B (autologous tissue substitute), 0D190JB (synthetic substitute) and 0D190KB (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 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 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
9Duodenum
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
BIleum

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

ICD-9-CM equivalent

Converter →
  • 45.91Small-to-small intestinal anastomosisapproximate

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 0D190ZB

Is 0D190ZB a valid ICD-10-PCS code for 2027?

Yes. 0D190ZB is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D190ZB an O.R. procedure?

Yes. 0D190ZB is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D190ZB group to?

Depending on the principal diagnosis, 0D190ZB can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 619, MS-DRG 620 and MS-DRG 621.

What is the ICD-9 procedure code for 0D190ZB?

The CMS GEMs map 0D190ZB to ICD-9-CM 45.91 (Small-to-small intestinal anastomosis).