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Inpatient Procedure Code

041J4ZK ICD-10-PCS Code: Bypass Left External Iliac Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach

Bypass L Ext Iliac Art to B Femor A, Perc Endo 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body System4

Lower Arteries

3
Root Operation1

Bypass

Altering the route of passage of the contents of a tubular body part

4
Body PartJ

External Iliac Artery, Left

5
Approach4

Percutaneous Endoscopic

6
DeviceZ

No Device

7
QualifierK

Femoral Arteries, Bilateral

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

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

04104ZK — Bypass Abdominal Aorta to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041C4ZK — Bypass Right Common Iliac Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041D4ZK — Bypass Left Common Iliac Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041E4ZK — Bypass Right Internal Iliac Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041F4ZK — Bypass Left Internal Iliac Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041H4ZK — Bypass Right External Iliac Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041K4ZK — Bypass Right Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041L4ZK — Bypass Left Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach

Same operation — other Approach

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

041J0ZK — Bypass Left External Iliac Artery to Bilateral Femoral Arteries, Open Approach

Same operation — other Device

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

041J49K — Bypass Left External Iliac Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 041J4AK — Bypass Left External Iliac Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 041J4JK — Bypass Left External Iliac Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach, 041J4KK — Bypass Left External Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Same operation — other Qualifier

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

041J4ZC — Bypass Left External Iliac Artery to Bilateral Internal Iliac Arteries, Percutaneous Endoscopic Approach, 041J4ZD — Bypass Left External Iliac Artery to Right External Iliac Artery, Percutaneous Endoscopic Approach, 041J4ZF — Bypass Left External Iliac Artery to Left External Iliac Artery, Percutaneous Endoscopic Approach, 041J4ZG — Bypass Left External Iliac Artery to Bilateral External Iliac Arteries, Percutaneous Endoscopic Approach, 041J4ZH — Bypass Left External Iliac Artery to Right Femoral Artery, Percutaneous Endoscopic Approach, 041J4ZJ — Bypass Left External Iliac Artery to Left Femoral Artery, Percutaneous Endoscopic Approach, 041J4ZP — Bypass Left External Iliac Artery to Foot Artery, Percutaneous Endoscopic Approach, 041J4ZQ — Bypass Left External Iliac Artery to Lower Extremity Artery, Percutaneous Endoscopic Approach, +2 more

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Peripheral arterial bypass procedures (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

031C0Z4 — Bypass Left Radial Artery to Left Lower Arm Artery, Open Approach, 031G09G — Bypass Intracranial Artery to Intracranial Artery with Autologous Venous Tissue, Open Approach, 031G0AG — Bypass Intracranial Artery to Intracranial Artery with Autologous Arterial Tissue, Open Approach, 031G0JG — Bypass Intracranial Artery to Intracranial Artery with Synthetic Substitute, Open Approach, 031G0KG — Bypass Intracranial Artery to Intracranial Artery with Nonautologous Tissue Substitute, Open Approach, 031G0ZG — Bypass Intracranial Artery to Intracranial Artery, Open Approach, 031S09G — Bypass Right Temporal Artery to Intracranial Artery with Autologous Venous Tissue, Open Approach, 031S0AG — Bypass Right Temporal Artery to Intracranial Artery with Autologous Arterial Tissue, Open Approach, 031S0JG — Bypass Right Temporal Artery to Intracranial Artery with Synthetic Substitute, Open Approach, 031S0KG — Bypass Right Temporal Artery to Intracranial Artery with Nonautologous Tissue Substitute, Open Approach, 031S0ZG — Bypass Right Temporal Artery to Intracranial Artery, Open Approach, 031T09G — Bypass Left Temporal Artery to Intracranial Artery with Autologous Venous Tissue, Open Approach, 031T0AG — Bypass Left Temporal Artery to Intracranial Artery with Autologous Arterial Tissue, Open Approach, 031T0JG — Bypass Left Temporal Artery to Intracranial Artery with Synthetic Substitute, Open Approach, 031T0KG — Bypass Left Temporal Artery to Intracranial Artery with Nonautologous Tissue Substitute, Open Approach, 031T0ZG — Bypass Left Temporal Artery to Intracranial Artery, Open Approach, X2KH3D9 — Bypass Right Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9, X2KH3E9 — Bypass Right Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9, X2KJ3D9 — Bypass Left Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9, X2KJ3E9 — Bypass Left Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9, +424 more

Contextual Map

Every relationship of 041J4ZK 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.

Run 041J4ZK with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

MDC crossing · diagnoses (13679)

  • 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.”— CMS MS-DRG Definitions Manual · FY2026
  • MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast[MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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.”— CMS MS-DRG Definitions Manual · FY2026
  • A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • and 13674 more

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels