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ICD-10-PCS 2027 procedure code

0T140KABypass Left Kidney Pelvis to Ileum with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass L Kidney Pelvis to Ileum w Nonaut Sub, Open

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 0T140KA

0T140KA is the ICD-10-PCS code for a bypass procedure on the left kidney pelvis using an open approach with nonautologous tissue substitute (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 anastomosis of kidney, the ICD-9-CM procedure title it maps to (55.86).

For a different body part, codes include 0T130KA (right kidney pelvis), 0T160KA (right ureter), 0T170KA (left ureter) and 0T180KA (bilateral ureters).

The same procedure with a different approach is coded 0T144KA (percutaneous endoscopic).

With a different device, use 0T1407A (autologous tissue substitute), 0T140JA (synthetic substitute) and 0T140ZA (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC), DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC), DRG 659 (Kidney and Ureter Procedures for Non-Neoplasm with MCC), DRG 660 (Kidney and Ureter Procedures for Non-Neoplasm with CC) and DRG 661 (Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC), under the surgical categories “” and “Kidney and Ureter Procedures for Non-Neoplasm”.

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
TUrinary 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
4Kidney Pelvis, Left

Includes: Ureteropelvic junction (UPJ)

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
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
AIleum

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 →
  • 55.86Anastomosis of kidneyapproximate

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 0T140KA

Is 0T140KA a valid ICD-10-PCS code for 2027?

Yes. 0T140KA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0T140KA an O.R. procedure?

Yes. 0T140KA is an O.R. procedure in MS-DRG v44.0.

What DRG does 0T140KA group to?

Depending on the principal diagnosis, 0T140KA can group to MS-DRG 656, MS-DRG 657, MS-DRG 658, MS-DRG 659, MS-DRG 660 and MS-DRG 661.

What is the ICD-9 procedure code for 0T140KA?

The CMS GEMs map 0T140KA to ICD-9-CM 55.86 (Anastomosis of kidney).