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ICD-10-PCS 2027 procedure code

0D1B8KHBypass Ileum to Cecum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Bypass Ileum to Cecum with Nonaut Sub, Endo

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 0D1B8KH

0D1B8KH is the ICD-10-PCS code for a bypass procedure on the ileum using a via natural or artificial opening endoscopic approach with nonautologous tissue substitute (qualifier: cecum). 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 0D188KH (small intestine), 0D1A8KH (jejunum) and 0D1H8KH (cecum).

The same procedure with a different approach is coded 0D1B0KH (open) and 0D1B4KH (percutaneous endoscopic).

With a different device, use 0D1B87H (autologous tissue substitute), 0D1B8JH (synthetic substitute) and 0D1B8ZH (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), 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) and DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), under the surgical categories “Other Circulatory System O.R. Procedures”, “Major Small and Large Bowel Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 4 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
BIleum
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
HCecum

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 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

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 0D1B8KH

Is 0D1B8KH a valid ICD-10-PCS code for 2027?

Yes. 0D1B8KH is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D1B8KH an O.R. procedure?

Yes. 0D1B8KH is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D1B8KH group to?

Depending on the principal diagnosis, 0D1B8KH can group to MS-DRG 361, MS-DRG 362, MS-DRG 329, MS-DRG 330, MS-DRG 331 and MS-DRG 628.

What is the ICD-9 procedure code for 0D1B8KH?

The CMS GEMs map 0D1B8KH to ICD-9-CM 45.93 (Other small-to-large intestinal anastomosis).