041H09JBypass Right External Iliac Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach

041H09J is the ICD-10-PCS code for a bypass procedure on the right external 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), 041D09J (left common iliac artery), 041E09J (right internal iliac artery), 041F09J (left internal iliac artery), 041J09J (left external iliac artery) and 2 more.

The same procedure with a different approach is coded 041H49J (percutaneous endoscopic).

With a different device, use 041H0AJ (autologous arterial tissue), 041H0JJ (synthetic substitute), 041H0KJ (nonautologous tissue substitute) and 041H0ZJ (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.