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ICD-10-PCS 2027 procedure code

031209YBypass Innominate Artery to Upper Artery with Autologous Venous Tissue, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Innom Art to Up Art with Autol Vn, Open Approach

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 031209Y

031209Y is the ICD-10-PCS code for a bypass procedure on the innominate artery using an open approach with autologous venous tissue (qualifier: upper artery). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

For a different body part, codes include 031H09Y (right common carotid artery) and 031J09Y (left common carotid artery).

With a different device, use 03120AY (autologous arterial tissue), 03120JY (synthetic substitute), 03120KY (nonautologous tissue substitute) and 03120ZY (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 209 (Complex Aortic Arch Procedures), DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical categories “Complex Aortic Arch Procedures” and “Other Vascular Procedures”.

It was added in FY2026, effective October 1, 2025.

What each character means

1. Section
0Medical and Surgical
2. Body System
3Upper Arteries
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
2Innominate Artery

Includes: Brachiocephalic artery; Brachiocephalic trunk

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
9Autologous Venous Tissue
7. Qualifier
YUpper Artery

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.

MDC 05 · Diseases and Disorders of the Circulatory System · Complex Aortic Arch Procedures

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
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about 031209Y

Is 031209Y a valid ICD-10-PCS code for 2027?

Yes. 031209Y is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 031209Y an O.R. procedure?

Yes. 031209Y is an O.R. procedure in MS-DRG v44.0.

What DRG does 031209Y group to?

Depending on the principal diagnosis, 031209Y can group to MS-DRG 209, MS-DRG 252, MS-DRG 253 and MS-DRG 254.