ICD-10-PCS 2027 procedure code
041C49KBypass Right Common Iliac Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
Short description: Bypass R Com Iliac Art to B Femor A w Autol Vn, Perc Endo
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 041C49K
041C49K is the ICD-10-PCS code for a bypass procedure on the right common iliac artery using a percutaneous endoscopic approach with autologous venous tissue (qualifier: bilateral femoral arteries). 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 041049K (abdominal aorta), 041D49K (left common iliac artery), 041E49K (right internal iliac artery), 041F49K (left internal iliac artery), 041H49K (right external iliac artery), 041J49K (left external iliac artery) and 2 more.
The same procedure with a different approach is coded 041C09K (open).
With a different device, use 041C4AK (autologous arterial tissue), 041C4JK (synthetic substitute), 041C4KK (nonautologous tissue substitute) and 041C4ZK (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.
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
- CCommon Iliac Artery, Right
- 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
- KFemoral Arteries, Bilateral
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
- 041C490Abdominal Aorta
- 041C491Celiac Artery
- 041C492Mesenteric Artery
- 041C493Renal Artery, Right
- 041C494Renal Artery, Left
- 041C495Renal Artery, Bilateral
- 041C496Common Iliac Artery, Right
- 041C497Common Iliac Artery, Left
- 041C498Common Iliac Arteries, Bilateral
- 041C499Internal Iliac Artery, Right
- 041C49BInternal Iliac Artery, Left
- 041C49CInternal Iliac Arteries, 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 Major Cardiovascular Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 39.25Aorta-iliac-femoral 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 041C49K
Is 041C49K a valid ICD-10-PCS code for 2027?
- Yes. 041C49K is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041C49K an O.R. procedure?
- Yes. 041C49K is an O.R. procedure in MS-DRG v44.0.
What DRG does 041C49K group to?
- Depending on the principal diagnosis, 041C49K can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 579, MS-DRG 580 and MS-DRG 581.
What is the ICD-9 procedure code for 041C49K?
- The CMS GEMs map 041C49K to ICD-9-CM 39.25 (Aorta-iliac-femoral bypass).