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ICD-10-PCS 2027 procedure code

0D1E4ZPBypass Large Intestine to Rectum, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Large Intestine to Rectum, Perc Endo Approach

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 0D1E4ZP

0D1E4ZP is the ICD-10-PCS code for a bypass procedure on the large intestine using a percutaneous endoscopic approach (qualifier: rectum). 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 0D184ZP (small intestine), 0D1A4ZP (jejunum), 0D1B4ZP (ileum), 0D1H4ZP (cecum), 0D1K4ZP (ascending colon), 0D1L4ZP (transverse colon) and 2 more.

The same procedure with a different approach is coded 0D1E0ZP (open) and 0D1E8ZP (via natural or artificial opening endoscopic).

With a different device, use 0D1E47P (autologous tissue substitute), 0D1E4JP (synthetic substitute) and 0D1E4KP (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”, “Other O.R. Procedures for Injuries” and 1 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
ELarge 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
ZNo Device
7. Qualifier
PRectum

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 0D1E4ZP

Is 0D1E4ZP a valid ICD-10-PCS code for 2027?

Yes. 0D1E4ZP is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D1E4ZP an O.R. procedure?

Yes. 0D1E4ZP is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D1E4ZP group to?

Depending on the principal diagnosis, 0D1E4ZP can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 628, MS-DRG 629 and MS-DRG 630.