ICD-10-PCS 2027 procedure code
03130KKBypass Right Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
Short description: Bypass R Subclav Art to L Extracran Art w Nonaut 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 03130KK
03130KK is the ICD-10-PCS code for a bypass procedure on the right subclavian artery using an open approach with nonautologous tissue substitute (qualifier: left extracranial 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 other (peripheral) vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.29).
For a different body part, codes include 03120KK (innominate artery), 03140KK (left subclavian artery), 03150KK (right axillary artery), 03160KK (left axillary artery), 031H0KK (right common carotid artery), 031J0KK (left common carotid artery) and 4 more.
With a different device, use 031309K (autologous venous tissue), 03130AK (autologous arterial tissue), 03130JK (synthetic substitute) and 03130ZK (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
- 3Subclavian Artery, Right
- 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
- KNonautologous Tissue Substitute
Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft
- 7. Qualifier
- KExtracranial Artery, Left
Other versions of this procedure
Different body part
- 03120KKInnominate Artery
- 03140KKSubclavian Artery, Left
- 03150KKAxillary Artery, Right
- 03160KKAxillary Artery, Left
- 031H0KKCommon Carotid Artery, Right
- 031J0KKCommon Carotid Artery, Left
- 031K0KKInternal Carotid Artery, Right
- 031L0KKInternal Carotid Artery, Left
- 031M0KKExternal Carotid Artery, Right
- 031N0KKExternal Carotid Artery, Left
Different device
Different qualifier
- 03130K0Upper Arm Artery, Right
- 03130K1Upper Arm Artery, Left
- 03130K2Upper Arm Artery, Bilateral
- 03130K3Lower Arm Artery, Right
- 03130K4Lower Arm Artery, Left
- 03130K5Lower Arm Artery, Bilateral
- 03130K6Upper Leg Artery, Right
- 03130K7Upper Leg Artery, Left
- 03130K8Upper Leg Artery, Bilateral
- 03130K9Lower Leg Artery, Right
- 03130KBLower Leg Artery, Left
- 03130KCLower 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 03130KK
Is 03130KK a valid ICD-10-PCS code for 2027?
- Yes. 03130KK is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03130KK an O.R. procedure?
- Yes. 03130KK is an O.R. procedure in MS-DRG v44.0.
What DRG does 03130KK group to?
- Depending on the principal diagnosis, 03130KK can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 03130KK?
- The CMS GEMs map 03130KK to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).