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ICD-10-PCS 2027 procedure code

041J4KHBypass Left External Iliac Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass L Ext Iliac Art to R Femor A w Nonaut 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 041J4KH

041J4KH is the ICD-10-PCS code for a bypass procedure on the left external iliac artery using a percutaneous endoscopic approach with nonautologous tissue substitute (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 04104KH (abdominal aorta), 041C4KH (right common iliac artery), 041D4KH (left common iliac artery), 041E4KH (right internal iliac artery), 041F4KH (left internal iliac artery), 041H4KH (right external iliac artery) and 2 more.

The same procedure with a different approach is coded 041J0KH (open).

With a different device, use 041J49H (autologous venous tissue), 041J4AH (autologous arterial tissue), 041J4JH (synthetic substitute) and 041J4ZH (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.

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
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
HFemoral 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 →
  • 39.25Aorta-iliac-femoral 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 041J4KH

Is 041J4KH a valid ICD-10-PCS code for 2027?

Yes. 041J4KH is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 041J4KH an O.R. procedure?

Yes. 041J4KH is an O.R. procedure in MS-DRG v44.0.

What DRG does 041J4KH group to?

Depending on the principal diagnosis, 041J4KH can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 041J4KH?

The CMS GEMs map 041J4KH to ICD-9-CM 39.25 (Aorta-iliac-femoral bypass).