03130KWICD-10-PCS Code: Bypass Right Subclavian Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:

• MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
• 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.

Related Codes

Same operation — other Body Part

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

03120KW — Bypass Innominate Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach, 03140KW — Bypass Left Subclavian Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach, 03150KW — Bypass Right Axillary Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach, 03160KW — Bypass Left Axillary Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach, 03170KW — Bypass Right Brachial Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach, 03180KW — Bypass Left Brachial Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach

Same operation — other Device

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

031309W — Bypass Right Subclavian Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach, 03130AW — Bypass Right Subclavian Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach, 03130JW — Bypass Right Subclavian Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach, 03130ZW — Bypass Right Subclavian Artery to Lower Extremity Vein, Open Approach

Same operation — other Qualifier

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

03130KB — Bypass Right Subclavian Artery to Left Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach, 03130KC — Bypass Right Subclavian Artery to Bilateral Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach, 03130KD — Bypass Right Subclavian Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach, 03130KF — Bypass Right Subclavian Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach, 03130KJ — Bypass Right Subclavian Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 03130KK — Bypass Right Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 03130KM — Bypass Right Subclavian Artery to Right Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach, 03130KN — Bypass Right Subclavian Artery to Left Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach, +10 more

Contextual Map

Every relationship of 03130KW 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

• 031[PCS table]
• Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
• Upper Arteries — Body System: Upper Arteries [Body System]: “Upper Arteries”
• Bypass — Operation: Bypass [Operation]: “Bypass”

MS-DRG participation (9)

• DRG 252 — OTHER VASCULAR PROCEDURES WITH MCC [MS-DRG]: “OTHER VASCULAR PROCEDURES WITH MCC — Other Vascular Procedures (MDC 05)”
• DRG 253 — OTHER VASCULAR PROCEDURES WITH CC [MS-DRG]: “OTHER VASCULAR PROCEDURES WITH CC — Other Vascular Procedures (MDC 05)”
• DRG 254 — OTHER VASCULAR PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — Other Vascular 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)”
• and 1 more

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

• 03120KW — Bypass Innominate Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach [One axis away]
• 031309W — Bypass Right Subclavian Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach [One axis away]
• 03130AW — Bypass Right Subclavian Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach [One axis away]
• 03130JW — Bypass Right Subclavian Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach [One axis away]
• 03130K0 — Bypass Right Subclavian Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
• 03130K1 — Bypass Right Subclavian Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
• 03130K2 — Bypass Right Subclavian Artery to Bilateral Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
• 03130K3 — Bypass Right Subclavian Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]