ICD-10-PCS 2027 procedure code
03150K0Bypass Right Axillary Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach
Short description: Bypass R Axilla Art to R Up Arm 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 03150K0
03150K0 is the ICD-10-PCS code for a bypass procedure on the right axillary artery using an open approach with nonautologous tissue substitute (qualifier: right upper arm 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 03120K0 (innominate artery), 03130K0 (right subclavian artery), 03140K0 (left subclavian artery), 03160K0 (left axillary artery) and 03170K0 (right brachial artery).
With a different device, use 0315090 (autologous venous tissue), 03150A0 (autologous arterial tissue), 03150J0 (synthetic substitute) and 03150Z0 (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 037 (Extracranial Procedures with MCC), DRG 038 (Extracranial Procedures with CC), DRG 039 (Extracranial Procedures without CC/MCC), DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC) and DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), under the surgical categories “Extracranial Procedures”, “Other Respiratory System O.R. Procedures”, “Other Vascular Procedures” and 4 more.
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
- 5Axillary 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
- 0Upper Arm Artery, Right
Other versions of this procedure
Different body part
Different device
Different qualifier
- 03150K1Upper Arm Artery, Left
- 03150K2Upper Arm Artery, Bilateral
- 03150K3Lower Arm Artery, Right
- 03150K4Lower Arm Artery, Left
- 03150K5Lower Arm Artery, Bilateral
- 03150K6Upper Leg Artery, Right
- 03150K7Upper Leg Artery, Left
- 03150K8Upper Leg Artery, Bilateral
- 03150K9Lower Leg Artery, Right
- 03150KBLower Leg Artery, Left
- 03150KCLower Leg Artery, Bilateral
- 03150KDUpper Arm Vein
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Extracranial Procedures
MDC 04 · Diseases and Disorders of the Respiratory System · Other Respiratory System O.R. Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular Procedures
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Other Hepatobiliary or Pancreas O.R. Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
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 03150K0
Is 03150K0 a valid ICD-10-PCS code for 2027?
- Yes. 03150K0 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03150K0 an O.R. procedure?
- Yes. 03150K0 is an O.R. procedure in MS-DRG v44.0.
What DRG does 03150K0 group to?
- Depending on the principal diagnosis, 03150K0 can group to MS-DRG 037, MS-DRG 038, MS-DRG 039, MS-DRG 166, MS-DRG 167 and MS-DRG 168.
What is the ICD-9 procedure code for 03150K0?
- The CMS GEMs map 03150K0 to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).