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ICD-10-PCS 2027 procedure code

021V08PBypass Superior Vena Cava to Pulmonary Trunk with Zooplastic Tissue, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Sup Vena Cava to Pulm Trunk w Zooplastic, Open

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 021V08P

021V08P is the ICD-10-PCS code for a bypass procedure on the superior vena cava using an open 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 Caval-pulmonary artery anastomosis, the ICD-9-CM procedure title it maps to (39.21).

For a different body part, codes include 021608P (right atrium), 021708P (left atrium), 021K08P (right ventricle), 021L08P (left ventricle), 021W08P (thoracic aorta, descending) and 021X08P (thoracic aorta, ascending/arch).

The same procedure with a different approach is coded 021V48P (percutaneous endoscopic).

With a different device, use 021V09P (autologous venous tissue), 021V0AP (autologous arterial tissue), 021V0JP (synthetic substitute), 021V0KP (nonautologous tissue substitute) and 021V0ZP (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical category “Other Major Cardiovascular 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
VSuperior Vena Cava

Includes: Cavoatrial junction; Precava

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
8Zooplastic Tissue
7. Qualifier
PPulmonary Trunk

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 39.21Caval-pulmonary artery anastomosisapproximate

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 021V08P

Is 021V08P a valid ICD-10-PCS code for 2027?

Yes. 021V08P is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 021V08P an O.R. procedure?

Yes. 021V08P is an O.R. procedure in MS-DRG v44.0.

What DRG does 021V08P group to?

Depending on the principal diagnosis, 021V08P can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 021V08P?

The CMS GEMs map 021V08P to ICD-9-CM 39.21 (Caval-pulmonary artery anastomosis).