ICD-10-PCS 2027 procedure code
05110AYBypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
Short description: Bypass Hemiazygos Vein to Up Vein w Autol Art, Open
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 05110AY
05110AY is the ICD-10-PCS code for a bypass procedure on the hemiazygos vein using an open approach with autologous arterial tissue (qualifier: upper 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 intrathoracic vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.23).
For a different body part, codes include 05100AY (azygos vein), 05130AY (right innominate vein), 05140AY (left innominate vein), 05150AY (right subclavian vein), 05160AY (left subclavian vein), 05170AY (right axillary vein) and 18 more.
The same procedure with a different approach is coded 05114AY (percutaneous endoscopic).
With a different device, use 051107Y (autologous tissue substitute), 051109Y (autologous venous tissue), 05110JY (synthetic substitute), 05110KY (nonautologous tissue substitute) and 05110ZY (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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
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
- 5Upper Veins
- 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
- 1Hemiazygos Vein
Includes: Left ascending lumbar vein; Left subcostal vein
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- AAutologous Arterial Tissue
- 7. Qualifier
- YUpper Vein
Other versions of this procedure
Different body part
- 05100AYAzygos Vein
- 05130AYInnominate Vein, Right
- 05140AYInnominate Vein, Left
- 05150AYSubclavian Vein, Right
- 05160AYSubclavian Vein, Left
- 05170AYAxillary Vein, Right
- 05180AYAxillary Vein, Left
- 05190AYBrachial Vein, Right
- 051A0AYBrachial Vein, Left
- 051B0AYBasilic Vein, Right
- 051C0AYBasilic Vein, Left
- 051D0AYCephalic Vein, Right
Different approach
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 Major Cardiovascular Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 39.23Other intrathoracic 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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 05110AY
Is 05110AY a valid ICD-10-PCS code for 2027?
- Yes. 05110AY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 05110AY an O.R. procedure?
- Yes. 05110AY is an O.R. procedure in MS-DRG v44.0.
What DRG does 05110AY group to?
- Depending on the principal diagnosis, 05110AY can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 05110AY?
- The CMS GEMs map 05110AY to ICD-9-CM 39.23 (Other intrathoracic vascular shunt or bypass).