041D49HBypass Left Common Iliac Artery to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

041D49H is the ICD-10-PCS code for a bypass procedure on the left common iliac artery using a percutaneous endoscopic approach with autologous venous tissue (qualifier: right 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 041049H (abdominal aorta), 041C49H (right common iliac artery), 041E49H (right internal iliac artery), 041F49H (left internal iliac artery), 041H49H (right external iliac artery), 041J49H (left external iliac artery) and 2 more.

The same procedure with a different approach is coded 041D09H (open).

With a different device, use 041D4AH (autologous arterial tissue), 041D4JH (synthetic substitute), 041D4KH (nonautologous tissue substitute) and 041D4ZH (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.