03170ZDICD-10-PCS Code: Bypass Right Brachial Artery to Upper Arm Vein, Open Approach
Bypass Right Brachial Artery to Up Arm Vein, Open Approach
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 Part7 | Brachial Artery, Right |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | QualifierD | Upper Arm Vein |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 16 MS-DRGs:
- MDC 05 — Other Circulatory System O.R. Procedures: DRG 264
- MDC 06 — Other Digestive System O.R. Procedures: DRG 356, DRG 357, DRG 358
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- MDC 11 — Other Kidney and Urinary Tract Procedures: DRG 673, DRG 674, DRG 675
- 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.
03120ZD — Bypass Innominate Artery to Upper Arm Vein, Open Approach, 03130ZD — Bypass Right Subclavian Artery to Upper Arm Vein, Open Approach, 03140ZD — Bypass Left Subclavian Artery to Upper Arm Vein, Open Approach, 03150ZD — Bypass Right Axillary Artery to Upper Arm Vein, Open Approach, 03160ZD — Bypass Left Axillary Artery to Upper Arm Vein, Open Approach, 03180ZD — Bypass Left Brachial Artery to Upper Arm Vein, Open Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
031709D — Bypass Right Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach, 03170AD — Bypass Right Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach, 03170JD — Bypass Right Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach, 03170KD — Bypass Right Brachial Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
03170Z0 — Bypass Right Brachial Artery to Right Upper Arm Artery, Open Approach, 03170Z3 — Bypass Right Brachial Artery to Right Lower Arm Artery, Open Approach, 03170ZF — Bypass Right Brachial Artery to Lower Arm Vein, Open Approach, 03170ZV — Bypass Right Brachial Artery to Superior Vena Cava, Open Approach, 03170ZW — Bypass Right Brachial Artery to Lower Extremity Vein, Open Approach
Contextual Map
Every relationship of 03170ZD 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 (16)
- 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 356 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — Other Digestive System O.R. Procedures (MDC 06)”
- DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — Other Digestive System O.R. Procedures (MDC 06)”
- DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Digestive System O.R. Procedures (MDC 06)”
- 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)”
- and 8 more
MDC crossing · diagnoses (4393)
- 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 06 — Diseases and Disorders of the Digestive System [MDC crossing]: “Diseases and Disorders of the Digestive 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 4388 more
Nearest codes
- 03120ZD — Bypass Innominate Artery to Upper Arm Vein, Open Approach [One axis away]
- 03130ZD — Bypass Right Subclavian Artery to Upper Arm Vein, Open Approach [One axis away]
- 03140ZD — Bypass Left Subclavian Artery to Upper Arm Vein, Open Approach [One axis away]
- 03150ZD — Bypass Right Axillary Artery to Upper Arm Vein, Open Approach [One axis away]
- 03160ZD — Bypass Left Axillary Artery to Upper Arm Vein, Open Approach [One axis away]
- 031709D — Bypass Right Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach [One axis away]
- 03170AD — Bypass Right Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach [One axis away]
- 03170JD — Bypass Right Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.