ICD-10-PCS 2027 procedure code
0T164KABypass Right Ureter to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Bypass R Ureter to Ileum with Nonaut Sub, Perc Endo Approach
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 0T164KA
0T164KA is the ICD-10-PCS code for a bypass procedure on the right ureter using a percutaneous endoscopic 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 urinary diversion to intestine, the ICD-9-CM procedure title it maps to (56.71).
For a different body part, codes include 0T134KA (right kidney pelvis), 0T144KA (left kidney pelvis), 0T174KA (left ureter) and 0T184KA (bilateral ureters).
The same procedure with a different approach is coded 0T160KA (open).
With a different device, use 0T1647A (autologous tissue substitute), 0T164JA (synthetic substitute) and 0T164ZA (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 “”, “Kidney and Ureter Procedures for Non-Neoplasm”, “Other Male Reproductive System O.R. Procedures” and 5 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
- 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
- 6Ureter, Right
- 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
- 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
Different body part
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Kidney and Ureter Procedures for Non-Neoplasm
MDC 12 · Diseases and Disorders of the Male Reproductive System
MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive System O.R. Procedures
MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
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
ICD-9-CM equivalent
Converter →- 56.71Urinary diversion to intestineapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0T164KA
Is 0T164KA a valid ICD-10-PCS code for 2027?
- Yes. 0T164KA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0T164KA an O.R. procedure?
- Yes. 0T164KA is an O.R. procedure in MS-DRG v44.0.
What DRG does 0T164KA group to?
- Depending on the principal diagnosis, 0T164KA 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 0T164KA?
- The CMS GEMs map 0T164KA to ICD-9-CM 56.71 (Urinary diversion to intestine).