ICD-10-PCS 2027 procedure code
041D0JRBypass Left Common Iliac Artery to Lower Artery with Synthetic Substitute, Open Approach
Short description: Bypass L Com Iliac Art to Low Art w Synth Sub, 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 041D0JR
041D0JR is the ICD-10-PCS code for a bypass procedure on the left common iliac artery using an open approach with synthetic substitute (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 04100JR (abdominal aorta), 04130JR (hepatic artery), 04140JR (splenic artery) and 041C0JR (right common iliac artery).
The same procedure with a different approach is coded 041D4JR (percutaneous endoscopic).
With a different device, use 041D09R (autologous venous tissue), 041D0AR (autologous arterial tissue), 041D0KR (nonautologous tissue substitute) and 041D0ZR (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) 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
- 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- RLower Artery
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
- 041D0J0Abdominal Aorta
- 041D0J1Celiac Artery
- 041D0J2Mesenteric Artery
- 041D0J3Renal Artery, Right
- 041D0J4Renal Artery, Left
- 041D0J5Renal Artery, Bilateral
- 041D0J6Common Iliac Artery, Right
- 041D0J7Common Iliac Artery, Left
- 041D0J8Common Iliac Arteries, Bilateral
- 041D0J9Internal Iliac Artery, Right
- 041D0JBInternal Iliac Artery, Left
- 041D0JCInternal 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 041D0JR
Is 041D0JR a valid ICD-10-PCS code for 2027?
- Yes. 041D0JR is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041D0JR an O.R. procedure?
- Yes. 041D0JR is an O.R. procedure in MS-DRG v44.0.
What DRG does 041D0JR group to?
- Depending on the principal diagnosis, 041D0JR can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 041D0JR?
- The CMS GEMs map 041D0JR to ICD-9-CM 39.26 (Other intra-abdominal vascular shunt or bypass).