ICD-10-PCS 2027 procedure code
041C4ZRBypass Right Common Iliac Artery to Lower Artery, Percutaneous Endoscopic Approach
Short description: Bypass R Com Iliac Art to Low Art, Perc Endo Approach
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 041C4ZR
041C4ZR is the ICD-10-PCS code for a bypass procedure on the right common iliac artery using a percutaneous endoscopic approach (qualifier: lower 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 04104ZR (abdominal aorta), 04134ZR (hepatic artery), 04144ZR (splenic artery) and 041D4ZR (left common iliac artery).
The same procedure with a different approach is coded 041C0ZR (open).
With a different device, use 041C49R (autologous venous tissue), 041C4AR (autologous arterial tissue), 041C4JR (synthetic substitute) and 041C4KR (nonautologous tissue substitute).
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) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical category “Other Major Cardiovascular 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
- 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
- ZNo Device
- 7. Qualifier
- RLower Artery
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
- 041C4Z0Abdominal Aorta
- 041C4Z1Celiac Artery
- 041C4Z2Mesenteric Artery
- 041C4Z3Renal Artery, Right
- 041C4Z4Renal Artery, Left
- 041C4Z5Renal Artery, Bilateral
- 041C4Z6Common Iliac Artery, Right
- 041C4Z7Common Iliac Artery, Left
- 041C4Z8Common Iliac Arteries, Bilateral
- 041C4Z9Internal Iliac Artery, Right
- 041C4ZBInternal Iliac Artery, Left
- 041C4ZCInternal 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
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
- 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 041C4ZR
Is 041C4ZR a valid ICD-10-PCS code for 2027?
- Yes. 041C4ZR is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041C4ZR an O.R. procedure?
- Yes. 041C4ZR is an O.R. procedure in MS-DRG v44.0.
What DRG does 041C4ZR group to?
- Depending on the principal diagnosis, 041C4ZR can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 041C4ZR?
- The CMS GEMs map 041C4ZR to ICD-9-CM 39.26 (Other intra-abdominal vascular shunt or bypass).