ICD-10-PCS 2027 procedure code
05170JYBypass Right Axillary Vein to Upper Vein with Synthetic Substitute, Open Approach
Short description: Bypass R Axilla Vein to Up Vein w Synth 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 05170JY
05170JY is the ICD-10-PCS code for a bypass procedure on the right axillary vein using an open approach with synthetic 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 (peripheral) vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.29).
For a different body part, codes include 05100JY (azygos vein), 05110JY (hemiazygos vein), 05130JY (right innominate vein), 05140JY (left innominate vein), 05150JY (right subclavian vein), 05160JY (left subclavian vein) and 18 more.
The same procedure with a different approach is coded 05174JY (percutaneous endoscopic).
With a different device, use 051707Y (autologous tissue substitute), 051709Y (autologous venous tissue), 05170AY (autologous arterial tissue), 05170KY (nonautologous tissue substitute) and 05170ZY (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 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
- 7Axillary Vein, Right
- 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
- 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
- YUpper Vein
Other versions of this procedure
Different body part
- 05100JYAzygos Vein
- 05110JYHemiazygos Vein
- 05130JYInnominate Vein, Right
- 05140JYInnominate Vein, Left
- 05150JYSubclavian Vein, Right
- 05160JYSubclavian Vein, Left
- 05180JYAxillary Vein, Left
- 05190JYBrachial Vein, Right
- 051A0JYBrachial Vein, Left
- 051B0JYBasilic Vein, Right
- 051C0JYBasilic Vein, Left
- 051D0JYCephalic 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 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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 05170JY
Is 05170JY a valid ICD-10-PCS code for 2027?
- Yes. 05170JY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 05170JY an O.R. procedure?
- Yes. 05170JY is an O.R. procedure in MS-DRG v44.0.
What DRG does 05170JY group to?
- Depending on the principal diagnosis, 05170JY can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 05170JY?
- The CMS GEMs map 05170JY to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).