ICD-10-PCS 2027 procedure code
05170KYBypass Right Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
Short description: Bypass R Axilla 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 05170KY
05170KY is the ICD-10-PCS code for a bypass procedure on the right axillary 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 (peripheral) vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.29).
For a different body part, codes include 05100KY (azygos vein), 05110KY (hemiazygos vein), 05130KY (right innominate vein), 05140KY (left innominate vein), 05150KY (right subclavian vein), 05160KY (left subclavian vein) and 18 more.
The same procedure with a different approach is coded 05174KY (percutaneous endoscopic).
With a different device, use 051707Y (autologous tissue substitute), 051709Y (autologous venous tissue), 05170AY (autologous arterial tissue), 05170JY (synthetic 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
- 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
Different body part
- 05100KYAzygos Vein
- 05110KYHemiazygos Vein
- 05130KYInnominate Vein, Right
- 05140KYInnominate Vein, Left
- 05150KYSubclavian Vein, Right
- 05160KYSubclavian Vein, Left
- 05180KYAxillary Vein, Left
- 05190KYBrachial Vein, Right
- 051A0KYBrachial Vein, Left
- 051B0KYBasilic Vein, Right
- 051C0KYBasilic Vein, Left
- 051D0KYCephalic 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 05170KY
Is 05170KY a valid ICD-10-PCS code for 2027?
- Yes. 05170KY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 05170KY an O.R. procedure?
- Yes. 05170KY is an O.R. procedure in MS-DRG v44.0.
What DRG does 05170KY group to?
- Depending on the principal diagnosis, 05170KY can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 05170KY?
- The CMS GEMs map 05170KY to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).