ICD-10-PCS 2027 procedure code
041R4JQBypass Right Posterior Tibial Artery to Lower Extremity Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
Short description: Bypass R Post Tib Art to Low Ex Art w Synth Sub, Perc Endo
Code last changed in FY2019 (effective October 1, 2018). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 041R4JQ
041R4JQ is the ICD-10-PCS code for a bypass procedure on the right posterior tibial artery using a percutaneous endoscopic approach with synthetic substitute (qualifier: lower extremity artery). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.
For a different body part, codes include 04104JQ (abdominal aorta), 041C4JQ (right common iliac artery), 041D4JQ (left common iliac artery), 041E4JQ (right internal iliac artery), 041F4JQ (left internal iliac artery), 041H4JQ (right external iliac artery) and 12 more.
The same procedure with a different approach is coded 041R0JQ (open) and 041R3JQ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular Procedures”.
It was added in FY2019, effective October 1, 2018.
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
- RPosterior Tibial 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
- QLower Extremity Artery
Other versions of this procedure
Different body part
- 04104JQAbdominal Aorta
- 041C4JQCommon Iliac Artery, Right
- 041D4JQCommon Iliac Artery, Left
- 041E4JQInternal Iliac Artery, Right
- 041F4JQInternal Iliac Artery, Left
- 041H4JQExternal Iliac Artery, Right
- 041J4JQExternal Iliac Artery, Left
- 041K4JQFemoral Artery, Right
- 041L4JQFemoral Artery, Left
- 041M4JQPopliteal Artery, Right
- 041N4JQPopliteal Artery, Left
- 041P4JQAnterior Tibial Artery, Right
Different approach
Different qualifier
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 Vascular Procedures
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2019 (effective 10/1/2018): Added
- No changes since FY2019.
Common questions about 041R4JQ
Is 041R4JQ a valid ICD-10-PCS code for 2027?
- Yes. 041R4JQ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041R4JQ an O.R. procedure?
- Yes. 041R4JQ is an O.R. procedure in MS-DRG v44.0.
What DRG does 041R4JQ group to?
- Depending on the principal diagnosis, 041R4JQ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.