ICD-10-PCS 2027 procedure code
041J0JDBypass Left External Iliac Artery to Right External Iliac Artery with Synthetic Substitute, Open Approach
Short description: Bypass L Ext Iliac Art to R Ext Ilia 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 041J0JD
041J0JD is the ICD-10-PCS code for a bypass procedure on the left external iliac artery using an open approach with synthetic substitute (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 04100JD (abdominal aorta), 041C0JD (right common iliac artery), 041D0JD (left common iliac artery), 041E0JD (right internal iliac artery), 041F0JD (left internal iliac artery) and 041H0JD (right external iliac artery).
The same procedure with a different approach is coded 041J4JD (percutaneous endoscopic).
With a different device, use 041J09D (autologous venous tissue), 041J0AD (autologous arterial tissue), 041J0KD (nonautologous tissue substitute) and 041J0ZD (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
- JExternal Iliac Artery, Left
Includes: Deep circumflex iliac artery; Inferior epigastric artery
- 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
- DExternal Iliac Artery, Right
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
- 041J0J9Internal Iliac Artery, Right
- 041J0JBInternal Iliac Artery, Left
- 041J0JCInternal Iliac Arteries, Bilateral
- 041J0JFExternal Iliac Artery, Left
- 041J0JGExternal Iliac Arteries, Bilateral
- 041J0JHFemoral Artery, Right
- 041J0JJFemoral Artery, Left
- 041J0JKFemoral Arteries, Bilateral
- 041J0JPFoot Artery
- 041J0JQLower 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 041J0JD
Is 041J0JD a valid ICD-10-PCS code for 2027?
- Yes. 041J0JD is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041J0JD an O.R. procedure?
- Yes. 041J0JD is an O.R. procedure in MS-DRG v44.0.
What DRG does 041J0JD group to?
- Depending on the principal diagnosis, 041J0JD can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 041J0JD?
- The CMS GEMs map 041J0JD to ICD-9-CM 39.26 (Other intra-abdominal vascular shunt or bypass).