0D164Z9 ICD 10 PCS Code for Bypass Stomach to Duodenum, Percutaneous Endoscopic Approach

Active

Billable, valid for HIPAA-covered transactions

Section 0 Medical and Surgical
Body System D Gastrointestinal System
Operation 1 Bypass
Body Part	Approach	Device	Qualifier
1 Esophagus, Upper 2 Esophagus, Middle 3 Esophagus, Lower 5 Esophagus	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous 6 Stomach 9 Duodenum A Jejunum B Ileum
1 Esophagus, Upper 2 Esophagus, Middle 3 Esophagus, Lower 5 Esophagus	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
6 Stomach 9 Duodenum	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous 9 Duodenum A Jejunum B Ileum L Transverse Colon
6 Stomach 9 Duodenum	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
8 Small Intestine	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous 8 Small Intestine H Cecum K Ascending Colon L Transverse Colon M Descending Colon N Sigmoid Colon P Rectum Q Anus
A Jejunum	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous A Jejunum B Ileum H Cecum K Ascending Colon L Transverse Colon M Descending Colon N Sigmoid Colon P Rectum Q Anus
A Jejunum	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
B Ileum	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous B Ileum H Cecum K Ascending Colon L Transverse Colon M Descending Colon N Sigmoid Colon P Rectum Q Anus
B Ileum	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
E Large Intestine	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous E Large Intestine P Rectum
H Cecum	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous H Cecum K Ascending Colon L Transverse Colon M Descending Colon N Sigmoid Colon P Rectum
H Cecum	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
K Ascending Colon	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous K Ascending Colon L Transverse Colon M Descending Colon N Sigmoid Colon P Rectum
K Ascending Colon	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
L Transverse Colon	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous L Transverse Colon M Descending Colon N Sigmoid Colon P Rectum
L Transverse Colon	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
M Descending Colon	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous M Descending Colon N Sigmoid Colon P Rectum
M Descending Colon	3 Percutaneous	J Synthetic Substitute	4 Cutaneous
N Sigmoid Colon	0 Open 4 Percutaneous Endoscopic 8 Via Natural or Artificial Opening Endoscopic	7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device	4 Cutaneous N Sigmoid Colon P Rectum
N Sigmoid Colon	3 Percutaneous	J Synthetic Substitute	4 Cutaneous