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ICD-10-PCS 2027 procedure code

021K4ZFBypass Right Ventricle to Abdominal Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Right Ventricle to Abd Art, 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 021K4ZF

021K4ZF is the ICD-10-PCS code for a bypass procedure on the right ventricle using a percutaneous endoscopic approach (qualifier: abdominal artery). 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 heart revascularization by arterial implant, the ICD-9-CM procedure title it maps to (36.2).

For a different body part, codes include 02104ZF (coronary artery, one artery), 02114ZF (coronary artery, two arteries), 02124ZF (coronary artery, three arteries), 02134ZF (coronary artery, four or more arteries) and 021L4ZF (left ventricle).

The same procedure with a different approach is coded 021K0ZF (open).

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 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
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
KVentricle, Right

Includes: Conus arteriosus

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
ZNo Device
7. Qualifier
FAbdominal Artery

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 →
  • 36.2Heart revascularization by arterial implantapproximate

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 021K4ZF

Is 021K4ZF a valid ICD-10-PCS code for 2027?

Yes. 021K4ZF is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 021K4ZF an O.R. procedure?

Yes. 021K4ZF is an O.R. procedure in MS-DRG v44.0.

What DRG does 021K4ZF group to?

Depending on the principal diagnosis, 021K4ZF can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 021K4ZF?

The CMS GEMs map 021K4ZF to ICD-9-CM 36.2 (Heart revascularization by arterial implant).