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ICD-10-PCS 2027 procedure code

041L4ALBypass Left Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass L Fem Art to Poplit Art w Autol Art, 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 041L4AL

041L4AL is the ICD-10-PCS code for a bypass procedure on the left femoral artery using a percutaneous endoscopic approach with autologous arterial tissue (qualifier: popliteal 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 (peripheral) vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.29).

For a different body part, codes include 041K4AL (right femoral artery), 041M4AL (right popliteal artery) and 041N4AL (left popliteal artery).

The same procedure with a different approach is coded 041L0AL (open).

With a different device, use 041L49L (autologous venous tissue), 041L4JL (synthetic substitute), 041L4KL (nonautologous tissue substitute) and 041L4ZL (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 037 (Extracranial Procedures with MCC), DRG 038 (Extracranial Procedures with CC), DRG 039 (Extracranial Procedures without CC/MCC), DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC) and DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), under the surgical categories “Extracranial Procedures”, “Other Respiratory System O.R. Procedures”, “Other Vascular Procedures” and 4 more.

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
LFemoral Artery, Left

Includes: Circumflex iliac artery; Deep femoral artery; Descending genicular artery; External pudendal artery; Superficial 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
AAutologous Arterial Tissue
7. Qualifier
LPopliteal Artery

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 →
  • 39.29Other (peripheral) 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 041L4AL

Is 041L4AL a valid ICD-10-PCS code for 2027?

Yes. 041L4AL is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 041L4AL an O.R. procedure?

Yes. 041L4AL is an O.R. procedure in MS-DRG v44.0.

What DRG does 041L4AL group to?

Depending on the principal diagnosis, 041L4AL can group to MS-DRG 037, MS-DRG 038, MS-DRG 039, MS-DRG 166, MS-DRG 167 and MS-DRG 168.

What is the ICD-9 procedure code for 041L4AL?

The CMS GEMs map 041L4AL to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).