ICD-10-PCS 2027 procedure code
0F198D3Bypass Common Bile Duct to Duodenum with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
Short description: Bypass Common Bile Duct to Duodenum with Intralum Dev, Endo
Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0F198D3
0F198D3 is the ICD-10-PCS code for a bypass procedure on the common bile duct using a via natural or artificial opening endoscopic approach with intraluminal device (qualifier: duodenum). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.
The same procedure with a different approach is coded 0F190D3 (open) and 0F194D3 (percutaneous endoscopic).
With a different device, use 0F198Z3 (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC), DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), DRG 408 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with MCC), DRG 409 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with CC) and DRG 410 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC), under the surgical categories “Other Digestive System O.R. Procedures”, “Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.
It was added in FY2026, effective October 1, 2025.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- FHepatobiliary System and Pancreas
- 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
- 9Common Bile Duct
- 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
- DIntraluminal Device
Includes: Absolute Pro Vascular (OTW) Self-Expanding Stent System; Acculink (RX) Carotid Stent System; AFX(R) Endovascular AAA System; AneuRx(R) AAA Advantage(R); Assurant (Cobalt) stent; Carotid WALLSTENT(R) Monorail(R) Endoprosthesis; CoAxia NeuroFlo catheter; Colonic Z-Stent(R); Complete (SE) stent; Cook Zenith AAA Endovascular Graft; Driver stent (RX) (OTW); E-Luminexx(tm) (Biliary)(Vascular) Stent; Embolization coil(s); Endologix AFX(R) Endovascular AAA System; Endurant(R) Endovascular Stent Graft; Endurant(R) II AAA stent graft system; EXCLUDER(R) AAA Endoprosthesis; Express(R) (LD) Premounted Stent System; Express(R) Biliary SD Monorail(R) Premounted Stent System; Express(R) SD Renal Monorail(R) Premounted Stent System; FLAIR(R) Endovascular Stent Graft; Formula(tm) Balloon-Expandable Renal Stent System; GORE EXCLUDER(R) AAA Endoprosthesis; GORE TAG(R) Thoracic Endoprosthesis; GORE(R) VIABAHN(R) Endoprosthesis; GORE(R) VIABIL(R) Biliary Endoprosthesis; Herculink (RX) Elite Renal Stent System; Innova(tm) stent; LifeStent(R) (Flexstar)(XL) Vascular Stent System; Medtronic Endurant(R) II AAA stent graft system; Micro-Driver stent (RX) (OTW); MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System; Omnilink Elite Vascular Balloon Expandable Stent System; Protege(R) RX Carotid Stent System; Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary); Talent(R) Converter; Talent(R) Occluder; Talent(R) Stent Graft (abdominal)(thoracic); Therapeutic occlusion coil(s); Ultraflex(tm) Precision Colonic Stent System; Valiant Thoracic Stent Graft; WALLSTENT(R) Endoprosthesis; Xact Carotid Stent System; Zenith AAA Endovascular Graft; Zenith Flex(R) AAA Endovascular Graft; Zenith TX2(R) TAA Endovascular Graft; Zenith(R) Renu(tm) AAA Ancillary Graft
- 7. Qualifier
- 3Duodenum
Other versions of this procedure
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2026 (effective 10/1/2025): Added
- No changes since FY2026.
Common questions about 0F198D3
Is 0F198D3 a valid ICD-10-PCS code for 2027?
- Yes. 0F198D3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0F198D3 an O.R. procedure?
- Yes. 0F198D3 is an O.R. procedure in MS-DRG v44.0.
What DRG does 0F198D3 group to?
- Depending on the principal diagnosis, 0F198D3 can group to MS-DRG 356, MS-DRG 357, MS-DRG 358, MS-DRG 408, MS-DRG 409 and MS-DRG 410.