ICD-10-PCS 2027 procedure code
041H4JPBypass Right External Iliac Artery to Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
Short description: Bypass R Ext Iliac Art to Foot Art w Synth Sub, 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 041H4JP
041H4JP is the ICD-10-PCS code for a bypass procedure on the right external iliac artery using a percutaneous endoscopic approach with synthetic substitute (qualifier: foot 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 041E4JP (right internal iliac artery), 041F4JP (left internal iliac artery), 041J4JP (left external iliac artery), 041K4JP (right femoral artery), 041L4JP (left femoral artery), 041M4JP (right popliteal artery) and 5 more.
The same procedure with a different approach is coded 041H0JP (open).
With a different device, use 041H49P (autologous venous tissue), 041H4AP (autologous arterial tissue), 041H4KP (nonautologous tissue substitute) and 041H4ZP (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
- HExternal Iliac Artery, Right
- 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
- 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
- PFoot Artery
Other versions of this procedure
Different body part
- 041E4JPInternal Iliac Artery, Right
- 041F4JPInternal Iliac Artery, Left
- 041J4JPExternal Iliac Artery, Left
- 041K4JPFemoral Artery, Right
- 041L4JPFemoral Artery, Left
- 041M4JPPopliteal Artery, Right
- 041N4JPPopliteal Artery, Left
- 041T4JPPeroneal Artery, Right
- 041U4JPPeroneal Artery, Left
- 041V4JPFoot Artery, Right
- 041W4JPFoot Artery, Left
Different approach
Different device
Different qualifier
- 041H4J9Internal Iliac Artery, Right
- 041H4JBInternal Iliac Artery, Left
- 041H4JCInternal Iliac Arteries, Bilateral
- 041H4JDExternal Iliac Artery, Right
- 041H4JFExternal Iliac Artery, Left
- 041H4JGExternal Iliac Arteries, Bilateral
- 041H4JHFemoral Artery, Right
- 041H4JJFemoral Artery, Left
- 041H4JKFemoral Arteries, Bilateral
- 041H4JQLower Extremity Artery
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 041H4JP
Is 041H4JP a valid ICD-10-PCS code for 2027?
- Yes. 041H4JP is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041H4JP an O.R. procedure?
- Yes. 041H4JP is an O.R. procedure in MS-DRG v44.0.
What DRG does 041H4JP group to?
- Depending on the principal diagnosis, 041H4JP can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 041H4JP?
- The CMS GEMs map 041H4JP to ICD-9-CM 39.26 (Other intra-abdominal vascular shunt or bypass).