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Inpatient Procedure Code

021W09F

Bypass Thoracic Aorta, Descending to Abdominal Artery with Autologous Venous Tissue, Open Approach

Bypass Thor Aorta Desc to Abd Art w Autol Vn, Open

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 PartW

Thoracic Aorta, Descending

5
Approach0

Open

6
Device9

Autologous Venous Tissue

7
QualifierF

Abdominal Artery

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.

Related Codes

Same operation — other Body Part

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

021009F — Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Open Approach, 021109F — Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach, 021209F — Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach, 021309F — Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach

Same operation — other Device

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

021W08F — Bypass Thoracic Aorta, Descending to Abdominal Artery with Zooplastic Tissue, Open Approach, 021W0AF — Bypass Thoracic Aorta, Descending to Abdominal Artery with Autologous Arterial Tissue, Open Approach, 021W0JF — Bypass Thoracic Aorta, Descending to Abdominal Artery with Synthetic Substitute, Open Approach, 021W0KF — Bypass Thoracic Aorta, Descending to Abdominal Artery with Nonautologous Tissue Substitute, Open Approach

Same operation — other Qualifier

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

021W09A — Bypass Thoracic Aorta, Descending to Innominate Artery with Autologous Venous Tissue, Open Approach, 021W09B — Bypass Thoracic Aorta, Descending to Subclavian with Autologous Venous Tissue, Open Approach, 021W09D — Bypass Thoracic Aorta, Descending to Carotid with Autologous Venous Tissue, Open Approach, 021W09G — Bypass Thoracic Aorta, Descending to Axillary Artery with Autologous Venous Tissue, Open Approach, 021W09H — Bypass Thoracic Aorta, Descending to Brachial Artery with Autologous Venous Tissue, Open Approach, 021W09P — Bypass Thoracic Aorta, Descending to Pulmonary Trunk with Autologous Venous Tissue, Open Approach, 021W09Q — Bypass Thoracic Aorta, Descending to Right Pulmonary Artery with Autologous Venous Tissue, Open Approach, 021W09R — Bypass Thoracic Aorta, Descending to Left Pulmonary Artery with Autologous Venous Tissue, Open Approach, +1 more

Contextual Map

Every relationship of 021W09F 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

  • 021009F — Bypass Coronary Artery, One Artery from Abdominal Artery with Autologous Venous Tissue, Open Approach [One axis away]
  • 021109F — Bypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach [One axis away]
  • 021209F — Bypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach [One axis away]
  • 021309F — Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach [One axis away]
  • 021W08F — Bypass Thoracic Aorta, Descending to Abdominal Artery with Zooplastic Tissue, Open Approach [One axis away]
  • 021W09A — Bypass Thoracic Aorta, Descending to Innominate Artery with Autologous Venous Tissue, Open Approach [One axis away]
  • 021W09B — Bypass Thoracic Aorta, Descending to Subclavian with Autologous Venous Tissue, Open Approach [One axis away]
  • 021W09D — Bypass Thoracic Aorta, Descending to Carotid with Autologous Venous Tissue, Open Approach [One axis away]

Change history

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