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ICD-10-PCS 2027 procedure code

0D190ZLBypass Duodenum to Transverse Colon, 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 0D190ZL

0D190ZL is the ICD-10-PCS code for a bypass procedure on the duodenum using an open approach (qualifier: transverse colon). 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 other small-to-large intestinal anastomosis, the ICD-9-CM procedure title it maps to (45.93).

For a different body part, codes include 0D160ZL (stomach), 0D180ZL (small intestine), 0D1A0ZL (jejunum), 0D1B0ZL (ileum), 0D1H0ZL (cecum), 0D1K0ZL (ascending colon) and 1 more.

The same procedure with a different approach is coded 0D194ZL (percutaneous endoscopic) and 0D198ZL (via natural or artificial opening endoscopic).

With a different device, use 0D1907L (autologous tissue substitute), 0D190JL (synthetic substitute) and 0D190KL (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 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 2 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
LTransverse 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.

ICD-9-CM equivalent

Converter →
  • 45.93Other small-to-large 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 0D190ZL

Is 0D190ZL a valid ICD-10-PCS code for 2027?

Yes. 0D190ZL is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D190ZL an O.R. procedure?

Yes. 0D190ZL is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D190ZL group to?

Depending on the principal diagnosis, 0D190ZL can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 0D190ZL?

The CMS GEMs map 0D190ZL to ICD-9-CM 45.93 (Other small-to-large intestinal anastomosis).