021V4KRICD-10-PCS Code: Bypass Superior Vena Cava to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

MS-DRG Grouper Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:

• MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272

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.

02164KR — Bypass Right Atrium to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02174KR — Bypass Left Atrium to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021K4KR — Bypass Right Ventricle to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021L4KR — Bypass Left Ventricle to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021W4KR — Bypass Thoracic Aorta, Descending to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021X4KR — Bypass Thoracic Aorta, Ascending/Arch to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

021V0KR — Bypass Superior Vena Cava to Left Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

021V48R — Bypass Superior Vena Cava to Left Pulmonary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach, 021V49R — Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 021V4AR — Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 021V4JR — Bypass Superior Vena Cava to Left Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach, 021V4ZR — Bypass Superior Vena Cava to Left Pulmonary Artery, Percutaneous Endoscopic Approach

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

021V4KP — Bypass Superior Vena Cava to Pulmonary Trunk with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021V4KQ — Bypass Superior Vena Cava to Right Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021V4KS — Bypass Superior Vena Cava to Right Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021V4KT — Bypass Superior Vena Cava to Left Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021V4KU — Bypass Superior Vena Cava to Pulmonary Vein Confluence with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 021V4KR 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.

PCS table

• 021[PCS table]
• Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
• Heart and Great Vessels — Body System: Heart and Great Vessels [Body System]: “Heart and Great Vessels”
• Bypass — Operation: Bypass [Operation]: “Bypass”

MS-DRG participation

• DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”
• DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”
• DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”

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.”
• A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• and 1839 more

Nearest codes

• 02164KR — Bypass Right Atrium to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
• 02174KR — Bypass Left Atrium to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
• 021K4KR — Bypass Right Ventricle to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
• 021L4KR — Bypass Left Ventricle to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
• 021V0KR — Bypass Superior Vena Cava to Left Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
• 021V48R — Bypass Superior Vena Cava to Left Pulmonary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach [One axis away]
• 021V49R — Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
• 021V4AR — Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach [One axis away]