Inpatient Procedure Code
021V4ZU
Bypass Superior Vena Cava to Pulmonary Vein Confluence, Percutaneous Endoscopic Approach
Bypass Sup Vena Cava to Pulm Vn Cnfl, 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.
| 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 PartV | Superior Vena Cava |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierU | Pulmonary Vein, Confluence |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 8 MS-DRGs:
- MDC 05 — Other Cardiothoracic Procedures: DRG 228, DRG 229
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 021V4ZU 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 228 — OTHER CARDIOTHORACIC PROCEDURES WITH MCC [MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITH MCC — Other Cardiothoracic Procedures (MDC 05)”
- DRG 229 — OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC [MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — Other Cardiothoracic Procedures (MDC 05)”
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- DRG 959 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
MDC crossing · diagnoses (16966)
- 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.”
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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 16961 more
Nearest codes
- 02174ZU — Bypass Left Atrium to Pulmonary Vein Confluence, Percutaneous Endoscopic Approach [One axis away]
- 021V0ZU — Bypass Superior Vena Cava to Pulmonary Vein Confluence, Open Approach [One axis away]
- 021V48U — Bypass Superior Vena Cava to Pulmonary Vein Confluence with Zooplastic Tissue, Percutaneous Endoscopic Approach [One axis away]
- 021V49U — Bypass Superior Vena Cava to Pulmonary Vein Confluence with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
- 021V4AU — Bypass Superior Vena Cava to Pulmonary Vein Confluence with Autologous Arterial Tissue, Percutaneous Endoscopic Approach [One axis away]
- 021V4JU — Bypass Superior Vena Cava to Pulmonary Vein Confluence with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
- 021V4KU — Bypass Superior Vena Cava to Pulmonary Vein Confluence with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 021V4ZP — Bypass Superior Vena Cava to Pulmonary Trunk, Percutaneous Endoscopic Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.