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ICD-10-PCS 2027 procedure code

061J4AYBypass Left Hypogastric Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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

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 061J4AY

061J4AY is the ICD-10-PCS code for a bypass procedure on the left hypogastric vein using a percutaneous endoscopic approach with autologous arterial tissue (qualifier: lower 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 intra-abdominal venous shunt, the ICD-9-CM procedure title it maps to (39.1).

For a different body part, codes include 06104AY (inferior vena cava), 06114AY (splenic vein), 06124AY (gastric vein), 06134AY (esophageal vein), 06144AY (hepatic vein), 06154AY (superior mesenteric vein) and 16 more.

The same procedure with a different approach is coded 061J0AY (open).

With a different device, use 061J47Y (autologous tissue substitute), 061J49Y (autologous venous tissue), 061J4JY (synthetic substitute), 061J4KY (nonautologous tissue substitute) and 061J4ZY (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) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical category “Other Major Cardiovascular 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
6Lower 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
JHypogastric Vein, Left

Includes: Gluteal vein; Internal iliac vein; Internal pudendal vein; Lateral sacral vein; Middle hemorrhoidal vein; Obturator vein; Uterine vein; Vaginal vein; Vesical vein

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
YLower 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 →
  • 39.1Intra-abdominal venous shuntapproximate

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 061J4AY

Is 061J4AY a valid ICD-10-PCS code for 2027?

Yes. 061J4AY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 061J4AY an O.R. procedure?

Yes. 061J4AY is an O.R. procedure in MS-DRG v44.0.

What DRG does 061J4AY group to?

Depending on the principal diagnosis, 061J4AY can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 061J4AY?

The CMS GEMs map 061J4AY to ICD-9-CM 39.1 (Intra-abdominal venous shunt).