041K4ZS ICD-10-PCS Code: Bypass Right Femoral Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach
Bypass R Fem Art to Low Ex Vein, 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.
| Position | Value | Meaning |
|---|---|---|
| 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 PartK | Femoral Artery, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierS | Lower Extremity Vein |
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 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.
041L4ZS — Bypass Left Femoral Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach, 041M4ZS — Bypass Right Popliteal Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach, 041N4ZS — Bypass Left Popliteal Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach, 041T4ZS — Bypass Right Peroneal Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach, 041U4ZS — Bypass Left Peroneal Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach, 041V4ZS — Bypass Right Foot Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach, 041W4ZS — Bypass Left Foot Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
041K0ZS — Bypass Right Femoral Artery to Lower Extremity Vein, Open Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
041K49S — Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 041K4AS — Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 041K4JS — Bypass Right Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Endoscopic Approach, 041K4KS — Bypass Right Femoral Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
041K4ZH — Bypass Right Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach, 041K4ZJ — Bypass Right Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach, 041K4ZK — Bypass Right Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach, 041K4ZL — Bypass Right Femoral Artery to Popliteal Artery, Percutaneous Endoscopic Approach, 041K4ZM — Bypass Right Femoral Artery to Peroneal Artery, Percutaneous Endoscopic Approach, 041K4ZN — Bypass Right Femoral Artery to Posterior Tibial Artery, Percutaneous Endoscopic Approach, 041K4ZP — Bypass Right Femoral Artery to Foot Artery, Percutaneous Endoscopic Approach, 041K4ZQ — Bypass Right Femoral Artery to Lower Extremity Artery, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Peripheral arteriovenous fistula and shunt 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.
031A09F — Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach, 031A0AF — Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach, 031A0JF — Bypass Left Ulnar Artery to Lower Arm Vein with Synthetic Substitute, Open Approach, 031A0KF — Bypass Left Ulnar Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach, 031A0ZF — Bypass Left Ulnar Artery to Lower Arm Vein, Open Approach, 031A3ZF — Bypass Left Ulnar Artery to Lower Arm Vein, Percutaneous Approach, 031B09F — Bypass Right Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach, 031B0AF — Bypass Right Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach, 031B0JF — Bypass Right Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach, 031B0KF — Bypass Right Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach, 031B0ZF — Bypass Right Radial Artery to Lower Arm Vein, Open Approach, 031B3ZF — Bypass Right Radial Artery to Lower Arm Vein, Percutaneous Approach, 031C09F — Bypass Left Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach, 031C0AF — Bypass Left Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach, 031C0JF — Bypass Left Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach, 031C0KF — Bypass Left Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach, 031C0ZF — Bypass Left Radial Artery to Lower Arm Vein, Open Approach, 031C3ZF — Bypass Left Radial Artery to Lower Arm Vein, Percutaneous Approach, X2KB317 — Bypass Right Radial Artery using Thermal Resistance Energy, Percutaneous Approach, New Technology Group 7, X2KC317 — Bypass Left Radial Artery using Thermal Resistance Energy, Percutaneous Approach, New Technology Group 7, +133 more
Contextual Map
Every relationship of 041K4ZS 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 041K4ZS with these 5 related codes in Claim Check
PCS table
- 041[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Arteries — Body System: Lower Arteries[Body System]: “Lower Arteries”— CMS ICD-10-PCS tables
- Bypass — Operation: Bypass[Operation]: “Bypass”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 252 — OTHER VASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 253 — OTHER VASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH CC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 254 — OTHER VASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- CAR015 — Peripheral arteriovenous fistula and shunt procedures[CCSR category]: “Peripheral arteriovenous fistula and shunt procedures — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
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.”— 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 1839 more
Nearest codes
- 041K0ZS — Bypass Right Femoral Artery to Lower Extremity Vein, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 041K49S — Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041K4AS — Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041K4JS — Bypass Right Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041K4KS — Bypass Right Femoral Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041K4ZH — Bypass Right Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041K4ZJ — Bypass Right Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041K4ZK — Bypass Right Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
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