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Inpatient Procedure Code

021V4ZP

Bypass Superior Vena Cava to Pulmonary Trunk, Percutaneous Endoscopic Approach

Bypass Superior Vena Cava to Pulm Trunk, Perc Endo Approach

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.

PositionValueMeaning
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 PartV

Superior Vena Cava

5
Approach4

Percutaneous Endoscopic

6
DeviceZ

No Device

7
QualifierP

Pulmonary Trunk

Potential MS-DRG Relationships (FY2026)

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

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 021V4ZP 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]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

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

  • 02164ZP — Bypass Right Atrium to Pulmonary Trunk, Percutaneous Endoscopic Approach [One axis away]
  • 02174ZP — Bypass Left Atrium to Pulmonary Trunk, Percutaneous Endoscopic Approach [One axis away]
  • 021K4ZP — Bypass Right Ventricle to Pulmonary Trunk, Percutaneous Endoscopic Approach [One axis away]
  • 021L4ZP — Bypass Left Ventricle to Pulmonary Trunk, Percutaneous Endoscopic Approach [One axis away]
  • 021V0ZP — Bypass Superior Vena Cava to Pulmonary Trunk, Open Approach [One axis away]
  • 021V48P — Bypass Superior Vena Cava to Pulmonary Trunk with Zooplastic Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 021V49P — Bypass Superior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 021V4AP — Bypass Superior Vena Cava to Pulmonary Trunk with Autologous Arterial Tissue, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.