ICD-10-PCS 2027 procedure code
041D09JBypass Left Common Iliac Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
Short description: Bypass L Com Iliac Art to L Femor A w Autol Vn, 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 041D09J
041D09J is the ICD-10-PCS code for a bypass procedure on the left common iliac artery using an open approach with autologous venous tissue (qualifier: left femoral 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 041009J (abdominal aorta), 041C09J (right common iliac artery), 041E09J (right internal iliac artery), 041F09J (left internal iliac artery), 041H09J (right external iliac artery), 041J09J (left external iliac artery) and 2 more.
The same procedure with a different approach is coded 041D49J (percutaneous endoscopic).
With a different device, use 041D0AJ (autologous arterial tissue), 041D0JJ (synthetic substitute), 041D0KJ (nonautologous tissue substitute) and 041D0ZJ (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
- DCommon Iliac Artery, Left
- 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
- 9Autologous Venous Tissue
- 7. Qualifier
- JFemoral Artery, Left
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
- 041D090Abdominal Aorta
- 041D091Celiac Artery
- 041D092Mesenteric Artery
- 041D093Renal Artery, Right
- 041D094Renal Artery, Left
- 041D095Renal Artery, Bilateral
- 041D096Common Iliac Artery, Right
- 041D097Common Iliac Artery, Left
- 041D098Common Iliac Arteries, Bilateral
- 041D099Internal Iliac Artery, Right
- 041D09BInternal Iliac Artery, Left
- 041D09CInternal 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 041D09J
Is 041D09J a valid ICD-10-PCS code for 2027?
- Yes. 041D09J is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041D09J an O.R. procedure?
- Yes. 041D09J is an O.R. procedure in MS-DRG v44.0.
What DRG does 041D09J group to?
- Depending on the principal diagnosis, 041D09J 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 041D09J?
- The CMS GEMs map 041D09J to ICD-9-CM 39.25 (Aorta-iliac-femoral bypass).