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ICD-10-PCS 2027 procedure code

05140KYBypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass L Innom Vein to Up Vein w Nonaut Sub, 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 05140KY

05140KY is the ICD-10-PCS code for a bypass procedure on the left innominate vein using an open approach with nonautologous tissue substitute (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 05100KY (azygos vein), 05110KY (hemiazygos vein), 05130KY (right innominate vein), 05150KY (right subclavian vein), 05160KY (left subclavian vein), 05170KY (right axillary vein) and 18 more.

The same procedure with a different approach is coded 05144KY (percutaneous endoscopic).

With a different device, use 051407Y (autologous tissue substitute), 051409Y (autologous venous tissue), 05140AY (autologous arterial tissue), 05140JY (synthetic substitute) and 05140ZY (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
4Innominate Vein, Left

Includes: Brachiocephalic vein; Inferior thyroid 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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
YUpper Vein

Other versions of this procedure

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 →
  • 39.23Other intrathoracic 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 05140KY

Is 05140KY a valid ICD-10-PCS code for 2027?

Yes. 05140KY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05140KY an O.R. procedure?

Yes. 05140KY is an O.R. procedure in MS-DRG v44.0.

What DRG does 05140KY group to?

Depending on the principal diagnosis, 05140KY 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 05140KY?

The CMS GEMs map 05140KY to ICD-9-CM 39.23 (Other intrathoracic vascular shunt or bypass).