03160KKICD-10-PCS Code: Bypass Left Axillary Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
Bypass L Axilla Art to L Extracran Art w Nonaut Sub, 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 Part6 | Axillary Artery, Left |
| 5 | Approach0 | Open |
| 6 | DeviceK | Nonautologous Tissue Substitute |
| 7 | QualifierK | Extracranial Artery, Left |
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.
03120KK — Bypass Innominate Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 03130KK — Bypass Right Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 03140KK — Bypass Left Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 03150KK — Bypass Right Axillary Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 031H0KK — Bypass Right Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 031J0KK — Bypass Left Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 031K0KK — Bypass Right Internal Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 031L0KK — Bypass Left Internal Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, +2 more
Same operation — other Device
Same table and root operation, differing only in the device character.
031609K — Bypass Left Axillary Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach, 03160AK — Bypass Left Axillary Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach, 03160JK — Bypass Left Axillary Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach, 03160ZK — Bypass Left Axillary Artery to Left Extracranial Artery, Open Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
03160KB — Bypass Left Axillary Artery to Left Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach, 03160KC — Bypass Left Axillary Artery to Bilateral Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach, 03160KD — Bypass Left Axillary Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach, 03160KF — Bypass Left Axillary Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach, 03160KJ — Bypass Left Axillary Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach, 03160KT — Bypass Left Axillary Artery to Abdominal Artery with Nonautologous Tissue Substitute, Open Approach, 03160KV — Bypass Left Axillary Artery to Superior Vena Cava with Nonautologous Tissue Substitute, Open Approach, 03160KW — Bypass Left Axillary Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach, +10 more
Contextual Map
Every relationship of 03160KK 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
- 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)”
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
- 03120KK — Bypass Innominate Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 03130KK — Bypass Right Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 03140KK — Bypass Left Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 03150KK — Bypass Right Axillary Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 031609K — Bypass Left Axillary Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach [One axis away]
- 03160AK — Bypass Left Axillary Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach [One axis away]
- 03160JK — Bypass Left Axillary Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach [One axis away]
- 03160K0 — Bypass Left Axillary Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.