021K49R ICD-10-PCS Code: Bypass Right Ventricle to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
Bypass R Ventricle to L Pulm Art w Autol Vn, Perc Endo
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System2 | Heart and Great Vessels |
| 3 | Root Operation1 | Bypass Altering the route of passage of the contents of a tubular body part |
| 4 | Body PartK | Ventricle, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device9 | Autologous Venous Tissue |
| 7 | QualifierR | Pulmonary Artery, Left |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 2 MS-DRGs:
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
021649R — Bypass Right Atrium to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 021749R — Bypass Left Atrium to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 021L49R — Bypass Left Ventricle to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 021V49R — Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 021W49R — Bypass Thoracic Aorta, Descending to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 021X49R — Bypass Thoracic Aorta, Ascending/Arch to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
Same operation — other Device
Same table and root operation, differing only in the device character.
021K48R — Bypass Right Ventricle to Left Pulmonary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach, 021K4AR — Bypass Right Ventricle to Left Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 021K4JR — Bypass Right Ventricle to Left Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach, 021K4KR — Bypass Right Ventricle to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021K4ZR — Bypass Right Ventricle to Left Pulmonary Artery, Percutaneous Endoscopic Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
021K49P — Bypass Right Ventricle to Pulmonary Trunk with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 021K49Q — Bypass Right Ventricle to Right Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Heart and great vessel bypass procedures (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
061007P — Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Tissue Substitute, Open Approach, 061007Q — Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Tissue Substitute, Open Approach, 061007R — Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Tissue Substitute, Open Approach, 061009P — Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Open Approach, 061009Q — Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Venous Tissue, Open Approach, 061009R — Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Open Approach, 06100AP — Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Arterial Tissue, Open Approach, 06100AQ — Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Arterial Tissue, Open Approach, 06100AR — Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Arterial Tissue, Open Approach, 06100JP — Bypass Inferior Vena Cava to Pulmonary Trunk with Synthetic Substitute, Open Approach, 06100JQ — Bypass Inferior Vena Cava to Right Pulmonary Artery with Synthetic Substitute, Open Approach, 06100JR — Bypass Inferior Vena Cava to Left Pulmonary Artery with Synthetic Substitute, Open Approach, 06100KP — Bypass Inferior Vena Cava to Pulmonary Trunk with Nonautologous Tissue Substitute, Open Approach, 06100KQ — Bypass Inferior Vena Cava to Right Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach, 06100KR — Bypass Inferior Vena Cava to Left Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach, 06100ZP — Bypass Inferior Vena Cava to Pulmonary Trunk, Open Approach, 06100ZQ — Bypass Inferior Vena Cava to Right Pulmonary Artery, Open Approach, 06100ZR — Bypass Inferior Vena Cava to Left Pulmonary Artery, Open Approach, 061047P — Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 061047Q — Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, +17 more
Contextual Map
Every relationship of 021K49R in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 021K49R with these 5 related codes in Claim Check
PCS table
- 021[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Heart and Great Vessels — Body System: Heart and Great Vessels[Body System]: “Heart and Great Vessels”— CMS ICD-10-PCS tables
- Bypass — Operation: Bypass[Operation]: “Bypass”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 228 — OTHER CARDIOTHORACIC PROCEDURES WITH MCC[MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITH MCC — Other Cardiothoracic Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 229 — OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC[MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — Other Cardiothoracic Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- CAR013 — Heart and great vessel bypass procedures[CCSR category]: “Heart and great vessel bypass procedures — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1844)
- MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 1839 more
Nearest codes
- 021649R — Bypass Right Atrium to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 021749R — Bypass Left Atrium to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 021K09R — Bypass Right Ventricle to Left Pulmonary Artery with Autologous Venous Tissue, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 021K48R — Bypass Right Ventricle to Left Pulmonary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 021K49P — Bypass Right Ventricle to Pulmonary Trunk with Autologous Venous Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 021K49Q — Bypass Right Ventricle to Right Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 021K4AR — Bypass Right Ventricle to Left Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 021K4JR — Bypass Right Ventricle to Left Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels