ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D1E includes procedures performed to bypass segments of the large intestine in the gastrointestinal system. These ICD-10-PCS codes are used for inpatient documentation when a surgical alternate route is created to divert the passage of intestinal contents around an obstructed, diseased, or resected portion of the colon. Accurate coding within the ICD-10-PCS 0D1E group is essential for proper inpatient reimbursement, as it captures procedure performed and supports clinical documentation accuracy.

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Large Intestine Bypass Procedure Overview

Procedures in this group involve surgically creating an alternate route to bypass a portion of the large intestine within the gastrointestinal system. These operations reroute the passage of intestinal contents around obstructed, diseased, or removed segments. Accurate ICD-10-PCS coding of these bypass procedures is important for inpatient reimbursement because it captures the specific operation performed and supports correct case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
1	Operation	Bypass
E	Body Part	Large Intestine

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ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview

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Large Intestine Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
1	Operation	Bypass
E	Body Part	Large Intestine

When to Use

Use a code from this group when a bypass of the large intestine is intentionally performed to reroute intestinal contents during an inpatient admission. Select the specific code when documentation indicates a bypass operation targeting the large intestine within the gastrointestinal system.

ICD-10-PCS Codes

36 rows

ICD-10-PCS Code	Description
0D1E074	Bypass Large Intestine to Cutaneous with Autologous Tissue Substitute, Open Approach
0D1E07E	Bypass Large Intestine to Large Intestine with Autologous Tissue Substitute, Open Approach
0D1E07P	Bypass Large Intestine to Rectum with Autologous Tissue Substitute, Open Approach
0D1E0J4	Bypass Large Intestine to Cutaneous with Synthetic Substitute, Open Approach
0D1E0JE	Bypass Large Intestine to Large Intestine with Synthetic Substitute, Open Approach
0D1E0JP	Bypass Large Intestine to Rectum with Synthetic Substitute, Open Approach
0D1E0K4	Bypass Large Intestine to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D1E0KE	Bypass Large Intestine to Large Intestine with Nonautologous Tissue Substitute, Open Approach
0D1E0KP	Bypass Large Intestine to Rectum with Nonautologous Tissue Substitute, Open Approach
0D1E0Z4	Bypass Large Intestine to Cutaneous, Open Approach

Showing 1–10 of 36

DRG Codes

19 rows

DRG Code	Description
264	Other Circulatory System O.R. Procedures
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC

Showing 1–10 of 19

Typical Clinical Scenarios

Elderly patient presents to the emergency department with acute large‑bowel obstruction from an obstructing sigmoid colon tumor causing progressive abdominal distention, vomiting, and failure to pass stool. After resuscitation, the surgical team performs an urgent open bypass to divert fecal flow around the obstructed colonic segment and protect the proximal bowel; an open cutaneous stoma or colonic anastomosis may be created depending on intraoperative findings. Typical codes: 0D1E0Z4, 0D1E0ZE
Middle‑aged patient with complicated diverticulitis and planned elective surgery for a chronic stricture of the descending colon causing recurrent subacute obstruction and poor quality of life. During a scheduled inpatient admission, the surgeon creates a bypass conduit to reroute intestinal contents around the diseased colonic segment via a percutaneous endoscopic approach to preserve bowel continuity when resection is limited. Typical codes: 0D1E47E, 0D1E4ZE
Patient with prior colorectal surgery develops an anastomotic stricture and recurrent fecal diversion failure requiring revision; during inpatient care, the team performs an endoscopic bypass to reestablish passage by creating an alternative connection to the rectum using a synthetic or nonautologous tissue conduit. Typical codes: 0D1E8JP, 0D1E8KE

Related Codes

0D11-ESOPHAGUS-UPPER-BYPASS

ICD-10-PCS Code For Esophagus, Upper: Procedure Code Group Overview

0D12-ESOPHAGUS-MIDDLE-BYPASS

ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

0D13-ESOPHAGUS-LOWER-BYPASS

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

0D15-ESOPHAGUS-BYPASS

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D16-STOMACH-BYPASS

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D18-SMALL-INTESTINE-BYPASS

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0D19-DUODENUM-BYPASS

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D1A-JEJUNUM-BYPASS

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D1B-ILEUM-BYPASS

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

0D1H-CECUM-BYPASS

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

Showing 1–10 of 14

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

36 rows

ICD-10-PCS Code	Description
0D1E074	Bypass Large Intestine to Cutaneous with Autologous Tissue Substitute, Open Approach
0D1E07E	Bypass Large Intestine to Large Intestine with Autologous Tissue Substitute, Open Approach
0D1E07P	Bypass Large Intestine to Rectum with Autologous Tissue Substitute, Open Approach
0D1E0J4	Bypass Large Intestine to Cutaneous with Synthetic Substitute, Open Approach
0D1E0JE	Bypass Large Intestine to Large Intestine with Synthetic Substitute, Open Approach
0D1E0JP	Bypass Large Intestine to Rectum with Synthetic Substitute, Open Approach
0D1E0K4	Bypass Large Intestine to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D1E0KE	Bypass Large Intestine to Large Intestine with Nonautologous Tissue Substitute, Open Approach
0D1E0KP	Bypass Large Intestine to Rectum with Nonautologous Tissue Substitute, Open Approach
0D1E0Z4	Bypass Large Intestine to Cutaneous, Open Approach

Showing 1–10 of 36

DRG Codes

19 rows

DRG Code	Description
264	Other Circulatory System O.R. Procedures
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC

Showing 1–10 of 19

Typical Clinical Scenarios

Elderly patient presents to the emergency department with acute large‑bowel obstruction from an obstructing sigmoid colon tumor causing progressive abdominal distention, vomiting, and failure to pass stool. After resuscitation, the surgical team performs an urgent open bypass to divert fecal flow around the obstructed colonic segment and protect the proximal bowel; an open cutaneous stoma or colonic anastomosis may be created depending on intraoperative findings. Typical codes: 0D1E0Z4, 0D1E0ZE
Middle‑aged patient with complicated diverticulitis and planned elective surgery for a chronic stricture of the descending colon causing recurrent subacute obstruction and poor quality of life. During a scheduled inpatient admission, the surgeon creates a bypass conduit to reroute intestinal contents around the diseased colonic segment via a percutaneous endoscopic approach to preserve bowel continuity when resection is limited. Typical codes: 0D1E47E, 0D1E4ZE
Patient with prior colorectal surgery develops an anastomotic stricture and recurrent fecal diversion failure requiring revision; during inpatient care, the team performs an endoscopic bypass to reestablish passage by creating an alternative connection to the rectum using a synthetic or nonautologous tissue conduit. Typical codes: 0D1E8JP, 0D1E8KE

Related Codes

0D11-ESOPHAGUS-UPPER-BYPASS

ICD-10-PCS Code For Esophagus, Upper: Procedure Code Group Overview

0D12-ESOPHAGUS-MIDDLE-BYPASS

ICD-10-PCS Code For Esophagus, Middle: Procedure Code Group Overview

0D13-ESOPHAGUS-LOWER-BYPASS

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

0D15-ESOPHAGUS-BYPASS

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D16-STOMACH-BYPASS

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D18-SMALL-INTESTINE-BYPASS

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0D19-DUODENUM-BYPASS

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D1A-JEJUNUM-BYPASS

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D1B-ILEUM-BYPASS

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

0D1H-CECUM-BYPASS

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

Showing 1–10 of 14

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview policy alerts

Large Intestine Bypass Procedure Overview

Code Attributes

ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code for Large Intestine: Procedure Code Group Overview policy alerts

Large Intestine Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0D1E` represent?

What types of bypass targets are included in the `0D1E` code list?

How do device or material options appear in the `0D1E` codes?

Which approaches are represented in the `0D1E` code group for large intestine bypass procedures?

What is the coding and reimbursement relevance of accurate selection from the `0D1E` group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0D1E` represent?

What types of bypass targets are included in the `0D1E` code list?

How do device or material options appear in the `0D1E` codes?

Which approaches are represented in the `0D1E` code group for large intestine bypass procedures?

What is the coding and reimbursement relevance of accurate selection from the `0D1E` group?

References