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Inpatient Procedure Code

03170AV

Bypass Right Brachial Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach

Bypass R Brach Art to Sup Vena Cava 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.

PositionValueMeaning
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 Part7

Brachial Artery, Right

5
Approach0

Open

6
DeviceA

Autologous Arterial Tissue

7
QualifierV

Superior Vena Cava

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 13 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.

03150AV — Bypass Right Axillary Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach, 03160AV — Bypass Left Axillary Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach, 03180AV — Bypass Left Brachial Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach

Same operation — other Device

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

031709V — Bypass Right Brachial Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach, 03170JV — Bypass Right Brachial Artery to Superior Vena Cava with Synthetic Substitute, Open Approach, 03170KV — Bypass Right Brachial Artery to Superior Vena Cava with Nonautologous Tissue Substitute, Open Approach, 03170ZV — Bypass Right Brachial Artery to Superior Vena Cava, Open Approach

Same operation — other Qualifier

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

03170A0 — Bypass Right Brachial Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach, 03170A3 — Bypass Right Brachial Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach, 03170AD — Bypass Right Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach, 03170AF — Bypass Right Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach, 03170AW — Bypass Right Brachial Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach

Contextual Map

Every relationship of 03170AV 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 (13)

  • DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES [MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”
  • DRG 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”
  • DRG 629 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”
  • DRG 630 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”
  • DRG 673 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — Other Kidney and Urinary Tract Procedures (MDC 11)”
  • DRG 674 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — Other Kidney and Urinary Tract Procedures (MDC 11)”
  • DRG 675 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — Other Kidney and Urinary Tract Procedures (MDC 11)”
  • 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)”
  • and 5 more

MDC crossing · diagnoses (9592)

  • 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 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders [MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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 9587 more

Nearest codes

  • 03150AV — Bypass Right Axillary Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach [One axis away]
  • 03160AV — Bypass Left Axillary Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach [One axis away]
  • 031709V — Bypass Right Brachial Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach [One axis away]
  • 03170A0 — Bypass Right Brachial Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
  • 03170A3 — Bypass Right Brachial Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach [One axis away]
  • 03170AD — Bypass Right Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach [One axis away]
  • 03170AF — Bypass Right Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach [One axis away]
  • 03170AW — Bypass Right Brachial Artery to Lower Extremity Vein 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.