ICD-10-PCS 2027 procedure code
041T4ZQBypass Right Peroneal Artery to Lower Extremity Artery, Percutaneous Endoscopic Approach
Short description: Bypass R Peroneal Art to Low Ex Art, Perc Endo Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 041T4ZQ
041T4ZQ is the ICD-10-PCS code for a bypass procedure on the right peroneal artery using a percutaneous endoscopic approach (qualifier: lower extremity 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 04104ZQ (abdominal aorta), 041C4ZQ (right common iliac artery), 041D4ZQ (left common iliac artery), 041E4ZQ (right internal iliac artery), 041F4ZQ (left internal iliac artery), 041H4ZQ (right external iliac artery) and 8 more.
The same procedure with a different approach is coded 041T0ZQ (open).
With a different device, use 041T49Q (autologous venous tissue), 041T4AQ (autologous arterial tissue), 041T4JQ (synthetic substitute) and 041T4KQ (nonautologous tissue substitute).
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 FY2018, effective October 1, 2017.
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
- TPeroneal 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
- ZNo Device
- 7. Qualifier
- QLower Extremity Artery
Other versions of this procedure
Different body part
- 04104ZQAbdominal Aorta
- 041C4ZQCommon Iliac Artery, Right
- 041D4ZQCommon Iliac Artery, Left
- 041E4ZQInternal Iliac Artery, Right
- 041F4ZQInternal Iliac Artery, Left
- 041H4ZQExternal Iliac Artery, Right
- 041J4ZQExternal Iliac Artery, Left
- 041K4ZQFemoral Artery, Right
- 041L4ZQFemoral Artery, Left
- 041M4ZQPopliteal Artery, Right
- 041N4ZQPopliteal Artery, Left
- 041U4ZQPeroneal Artery, Left
Different approach
Different device
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
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
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 041T4ZQ
Is 041T4ZQ a valid ICD-10-PCS code for 2027?
- Yes. 041T4ZQ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 041T4ZQ an O.R. procedure?
- Yes. 041T4ZQ is an O.R. procedure in MS-DRG v44.0.
What DRG does 041T4ZQ group to?
- Depending on the principal diagnosis, 041T4ZQ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 041T4ZQ?
- The CMS GEMs map 041T4ZQ to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).