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ICD-10-PCS 2027 procedure code

041F49DBypass Left Internal Iliac Artery to Right External Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass L Int Iliac Art to R Ext Ilia 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 041F49D

041F49D is the ICD-10-PCS code for a bypass procedure on the left internal iliac artery using a percutaneous endoscopic approach with autologous venous tissue (qualifier: right external iliac 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 041049D (abdominal aorta), 041C49D (right common iliac artery), 041D49D (left common iliac artery), 041E49D (right internal iliac artery), 041H49D (right external iliac artery) and 041J49D (left external iliac artery).

The same procedure with a different approach is coded 041F09D (open).

With a different device, use 041F4AD (autologous arterial tissue), 041F4JD (synthetic substitute), 041F4KD (nonautologous tissue substitute) and 041F4ZD (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
FInternal Iliac Artery, Left

Includes: Deferential artery; Hypogastric artery; Iliolumbar artery; Inferior gluteal artery; Inferior vesical artery; Internal pudendal artery; Lateral sacral artery; Middle rectal artery; Obturator artery; Prostatic artery; Superior gluteal artery; Superior vesical artery; Umbilical artery; Uterine Artery; Vaginal artery

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
DExternal Iliac Artery, Right

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 041F49D

Is 041F49D a valid ICD-10-PCS code for 2027?

Yes. 041F49D is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 041F49D an O.R. procedure?

Yes. 041F49D is an O.R. procedure in MS-DRG v44.0.

What DRG does 041F49D group to?

Depending on the principal diagnosis, 041F49D can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 041F49D?

The CMS GEMs map 041F49D to ICD-9-CM 39.26 (Other intra-abdominal vascular shunt or bypass).