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ICD-10-PCS 2027 procedure code

041W4ASBypass Left Foot Artery to Lower Extremity Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass L Foot Art to Low Ex Vein w Autol Art, Perc Endo

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 041W4AS

041W4AS is the ICD-10-PCS code for a bypass procedure on the left foot artery using a percutaneous endoscopic approach with autologous arterial tissue (qualifier: lower extremity vein). 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 041K4AS (right femoral artery), 041L4AS (left femoral artery), 041M4AS (right popliteal artery), 041N4AS (left popliteal artery), 041T4AS (right peroneal artery), 041U4AS (left peroneal artery) and 1 more.

The same procedure with a different approach is coded 041W0AS (open).

With a different device, use 041W49S (autologous venous tissue), 041W4JS (synthetic substitute), 041W4KS (nonautologous tissue substitute) and 041W4ZS (no device).

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
WFoot Artery, Left

Includes: Arcuate artery; Dorsal metatarsal artery; Lateral plantar artery; Lateral tarsal artery; Medial plantar 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
SLower Extremity Vein

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 041W4AS

Is 041W4AS a valid ICD-10-PCS code for 2027?

Yes. 041W4AS is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 041W4AS an O.R. procedure?

Yes. 041W4AS is an O.R. procedure in MS-DRG v44.0.

What DRG does 041W4AS group to?

Depending on the principal diagnosis, 041W4AS can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 041W4AS?

The CMS GEMs map 041W4AS to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).