Inpatient Procedure Code
03150A0
Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach
Bypass R Axilla Art to R Up Arm Art w Autol Art, 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System3 | Upper Arteries |
| 3 | Root Operation1 | Bypass Altering the route of passage of the contents of a tubular body part |
| 4 | Body Part5 | Axillary Artery, Right |
| 5 | Approach0 | Open |
| 6 | DeviceA | Autologous Arterial Tissue |
| 7 | Qualifier0 | Upper Arm Artery, Right |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 21 MS-DRGs:
- MDC 01 — Extracranial Procedures: DRG 037, DRG 038, DRG 039
- MDC 04 — Other Respiratory System O.R. Procedures: DRG 166, DRG 167, DRG 168
- MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
- MDC 07 — Other Hepatobiliary or Pancreas O.R. Procedures: DRG 423, DRG 424, DRG 425
- MDC 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 03150A0 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]
- [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 (21)
- DRG 037 — EXTRACRANIAL PROCEDURES WITH MCC [MS-DRG]: “EXTRACRANIAL PROCEDURES WITH MCC — Extracranial Procedures (MDC 01)”
- DRG 038 — EXTRACRANIAL PROCEDURES WITH CC [MS-DRG]: “EXTRACRANIAL PROCEDURES WITH CC — Extracranial Procedures (MDC 01)”
- DRG 039 — EXTRACRANIAL PROCEDURES WITHOUT CC/MCC [MS-DRG]: “EXTRACRANIAL PROCEDURES WITHOUT CC/MCC — Extracranial Procedures (MDC 01)”
- DRG 166 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — Other Respiratory System O.R. Procedures (MDC 04)”
- DRG 167 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — Other Respiratory System O.R. Procedures (MDC 04)”
- DRG 168 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Respiratory System O.R. Procedures (MDC 04)”
- 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)”
- and 13 more
MDC crossing · diagnoses (5161)
- MDC 01 — Diseases and Disorders of the Nervous System [MDC crossing]: “Diseases and Disorders of the Nervous 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 04 — Diseases and Disorders of the Respiratory System [MDC crossing]: “Diseases and Disorders of the Respiratory 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.”
- A02.21 — Salmonella meningitis [Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A06.6 — Amebic brain abscess [Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.0 — Tuberculous meningitis [Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.1 — Meningeal tuberculoma [Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.81 — Tuberculoma of brain and spinal cord [Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- and 5156 more
Nearest codes
- 03120A0 — Bypass Innominate Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
- 03130A0 — Bypass Right Subclavian Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
- 03140A0 — Bypass Left Subclavian Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
- 0315090 — Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach [One axis away]
- 03150A1 — Bypass Right Axillary Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
- 03150A2 — Bypass Right Axillary Artery to Bilateral Upper Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
- 03150A3 — Bypass Right Axillary Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
- 03150A4 — Bypass Right Axillary Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.