041L4KK ICD-10-PCS Code: Bypass Left Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Bypass L Fem Art to B Femor A w Nonaut Sub, Perc Endo
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 PartL | Femoral Artery, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceK | Nonautologous Tissue Substitute |
| 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 21 MS-DRGs:
- MDC 01 — Extracranial Procedures: DRG 037, DRG 038, DRG 039
- MDC 04 — Other Respiratory System O.R. Procedures: DRG 166, DRG 167, DRG 168
- MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
- MDC 07 — Other Hepatobiliary or Pancreas O.R. Procedures: DRG 423, DRG 424, DRG 425
- MDC 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
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.
04104KK — Bypass Abdominal Aorta to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041C4KK — Bypass Right Common Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041D4KK — Bypass Left Common Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041E4KK — Bypass Right Internal Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041F4KK — Bypass Left Internal Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041H4KK — Bypass Right External Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041J4KK — Bypass Left External Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041K4KK — Bypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
Same operation — other Device
Same table and root operation, differing only in the device character.
041L49K — Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 041L4AK — Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 041L4JK — Bypass Left Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach, 041L4ZK — Bypass Left Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
041L4KH — Bypass Left Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041L4KJ — Bypass Left Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041L4KL — Bypass Left Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041L4KM — Bypass Left Femoral Artery to Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041L4KN — Bypass Left Femoral Artery to Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041L4KP — Bypass Left Femoral Artery to Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041L4KQ — Bypass Left Femoral Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 041L4KS — Bypass Left Femoral Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, 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 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 041L4KK 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 041L4KK 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 (21)
- DRG 037 — EXTRACRANIAL PROCEDURES WITH MCC[MS-DRG]: “EXTRACRANIAL PROCEDURES WITH MCC — Extracranial Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 038 — EXTRACRANIAL PROCEDURES WITH CC[MS-DRG]: “EXTRACRANIAL PROCEDURES WITH CC — Extracranial Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 039 — EXTRACRANIAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “EXTRACRANIAL PROCEDURES WITHOUT CC/MCC — Extracranial Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 166 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — Other Respiratory System O.R. Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 167 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — Other Respiratory System O.R. Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 168 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Respiratory System O.R. Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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
- and 13 more
Clinical classification (CCSR)
- CAR014 — Peripheral arterial bypass procedures[CCSR category]: “Peripheral arterial bypass procedures — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (5161)
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous 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 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory 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
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.81 — Tuberculoma of brain and spinal cord[Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 5156 more
Nearest codes
- 04104KK — Bypass Abdominal Aorta to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041C4KK — Bypass Right Common Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041D4KK — Bypass Left Common Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041E4KK — Bypass Right Internal Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041F4KK — Bypass Left Internal Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041H4KK — Bypass Right External Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041J4KK — Bypass Left External Iliac Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 041K4KK — Bypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, 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