ICD-10-PCS 2027 procedure code
03120JDBypass Innominate Artery to Upper Arm Vein with Synthetic Substitute, Open Approach
Short description: Bypass Innom Art to Up Arm Vein w Synth Sub, Open
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 03120JD
03120JD is the ICD-10-PCS code for a bypass procedure on the innominate artery using an open approach with synthetic substitute (qualifier: upper arm vein). 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 other (peripheral) vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.29).
For a different body part, codes include 03130JD (right subclavian artery), 03140JD (left subclavian artery), 03150JD (right axillary artery), 03160JD (left axillary artery), 03170JD (right brachial artery) and 03180JD (left brachial artery).
With a different device, use 031209D (autologous venous tissue), 03120AD (autologous arterial tissue), 03120KD (nonautologous tissue substitute) and 03120ZD (no device).
It is an operating-room procedure in the MS-DRG logic for 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 category “Other Vascular 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
- 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- DUpper Arm Vein
Other versions of this procedure
Different body part
Different device
Different qualifier
- 03120J0Upper Arm Artery, Right
- 03120J1Upper Arm Artery, Left
- 03120J2Upper Arm Artery, Bilateral
- 03120J3Lower Arm Artery, Right
- 03120J4Lower Arm Artery, Left
- 03120J5Lower Arm Artery, Bilateral
- 03120J6Upper Leg Artery, Right
- 03120J7Upper Leg Artery, Left
- 03120J8Upper Leg Artery, Bilateral
- 03120J9Lower Leg Artery, Right
- 03120JBLower Leg Artery, Left
- 03120JCLower Leg Artery, Bilateral
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 Vascular Procedures
ICD-9-CM equivalent
Converter →- 39.29Other (peripheral) vascular shunt or bypassapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 03120JD
Is 03120JD a valid ICD-10-PCS code for 2027?
- Yes. 03120JD is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03120JD an O.R. procedure?
- Yes. 03120JD is an O.R. procedure in MS-DRG v44.0.
What DRG does 03120JD group to?
- Depending on the principal diagnosis, 03120JD can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 03120JD?
- The CMS GEMs map 03120JD to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).