041009BBypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach

041009B is the ICD-10-PCS code for a bypass procedure on the abdominal aorta using an open approach with autologous venous tissue (qualifier: left internal iliac 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 Aorta-iliac-femoral bypass, the ICD-9-CM procedure title it maps to (39.25).

For a different body part, codes include 041C09B (right common iliac artery), 041D09B (left common iliac artery), 041E09B (right internal iliac artery), 041F09B (left internal iliac artery), 041H09B (right external iliac artery) and 041J09B (left external iliac artery).

The same procedure with a different approach is coded 041049B (percutaneous endoscopic).

With a different device, use 04100AB (autologous arterial tissue), 04100JB (synthetic substitute), 04100KB (nonautologous tissue substitute) and 04100ZB (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), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and “Other O.R. Procedures for Injuries”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.