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ICD-10-PCS 2027 procedure code

021648PBypass Right Atrium to Pulmonary Trunk with Zooplastic Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass R Atrium to Pulm Trunk w Zooplastic, Perc Endo

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 021648P

021648P is the ICD-10-PCS code for a bypass procedure on the right atrium using a percutaneous endoscopic approach with zooplastic tissue (qualifier: pulmonary trunk). 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 creation of conduit between atrium and pulmonary artery, the ICD-9-CM procedure title it maps to (35.94).

For a different body part, codes include 021748P (left atrium), 021K48P (right ventricle), 021L48P (left ventricle), 021V48P (superior vena cava), 021W48P (thoracic aorta, descending) and 021X48P (thoracic aorta, ascending/arch).

The same procedure with a different approach is coded 021608P (open).

With a different device, use 021649P (autologous venous tissue), 02164AP (autologous arterial tissue), 02164JP (synthetic substitute), 02164KP (nonautologous tissue substitute) and 02164ZP (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 228 (Other Cardiothoracic Procedures with MCC) and DRG 229 (Other Cardiothoracic Procedures without MCC), under the surgical category “Other Cardiothoracic Procedures”.

It was added in FY2017, effective October 1, 2016.

What each character means

1. Section
0Medical and Surgical
2. Body System
2Heart and Great Vessels
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
6Atrium, Right

Includes: Atrium dextrum cordis; Right auricular appendix; Sinus venosus

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
8Zooplastic Tissue
7. Qualifier
PPulmonary Trunk

Other versions of this procedure

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 05 · Diseases and Disorders of the Circulatory System · Other Cardiothoracic Procedures

ICD-9-CM equivalent

Converter →
  • 35.94Creation of conduit between atrium and pulmonary arteryapproximate

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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 021648P

Is 021648P a valid ICD-10-PCS code for 2027?

Yes. 021648P is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 021648P an O.R. procedure?

Yes. 021648P is an O.R. procedure in MS-DRG v44.0.

What DRG does 021648P group to?

Depending on the principal diagnosis, 021648P can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 021648P?

The CMS GEMs map 021648P to ICD-9-CM 35.94 (Creation of conduit between atrium and pulmonary artery).