Skip to content
Dx

ICD-10-PCS 2027 procedure code

0413495Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Hepatic Art to B Renal A w Autol Vn, Perc Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0413495

0413495 is the ICD-10-PCS code for a bypass procedure on the hepatic artery using a percutaneous endoscopic approach with autologous venous tissue (qualifier: bilateral renal 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 intra-abdominal vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.26).

For a different body part, codes include 0410495 (abdominal aorta), 0414495 (splenic artery), 041C495 (right common iliac artery) and 041D495 (left common iliac artery).

The same procedure with a different approach is coded 0413095 (open).

With a different device, use 04134A5 (autologous arterial tissue), 04134J5 (synthetic substitute), 04134K5 (nonautologous tissue substitute) and 04134Z5 (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC), DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC), DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC), DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC) and DRG 659 (Kidney and Ureter Procedures for Non-Neoplasm with MCC), under the surgical categories “Aortic and Heart Assist Procedures Except Pulsation Balloon”, “”, “Kidney and Ureter Procedures for Non-Neoplasm” and 2 more.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
4Lower 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
3Hepatic Artery

Includes: Common hepatic artery; Gastroduodenal artery; Hepatic artery proper

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
9Autologous Venous Tissue
7. Qualifier
5Renal Artery, Bilateral

Other versions of this procedure

Different approach

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 · Aortic and Heart Assist Procedures Except Pulsation Balloon

ICD-9-CM equivalent

Converter →
  • 39.26Other intra-abdominal vascular shunt or bypassapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0413495

Is 0413495 a valid ICD-10-PCS code for 2027?

Yes. 0413495 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0413495 an O.R. procedure?

Yes. 0413495 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0413495 group to?

Depending on the principal diagnosis, 0413495 can group to MS-DRG 268, MS-DRG 269, MS-DRG 656, MS-DRG 657, MS-DRG 658 and MS-DRG 659.

What is the ICD-9 procedure code for 0413495?

The CMS GEMs map 0413495 to ICD-9-CM 39.26 (Other intra-abdominal vascular shunt or bypass).