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Inpatient Procedure Code

061049P ICD-10-PCS Code: Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Percutaneous Endoscopic Approach

Bypass Inf Vena Cava to Pulm Trunk w Autol Vn, Perc Endo

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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 System6

Lower Veins

3
Root Operation1

Bypass

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

4
Body Part0

Inferior Vena Cava

5
Approach4

Percutaneous Endoscopic

6
Device9

Autologous Venous Tissue

7
QualifierP

Pulmonary Trunk

MS-DRG Grouper Relationships (FY2027)

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 2 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Approach

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

061009P — Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Open Approach

Same operation — other Device

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

061047P — Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06104AP — Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 06104JP — Bypass Inferior Vena Cava to Pulmonary Trunk with Synthetic Substitute, Percutaneous Endoscopic Approach, 06104KP — Bypass Inferior Vena Cava to Pulmonary Trunk with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06104ZP — Bypass Inferior Vena Cava to Pulmonary Trunk, Percutaneous Endoscopic Approach

Same operation — other Qualifier

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

0610495 — Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 0610496 — Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061049Q — Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061049R — Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061049Y — Bypass Inferior Vena Cava to Lower Vein with Autologous Venous Tissue, 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 Heart and great vessel 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.

021X4AR — Bypass Thoracic Aorta, Ascending/Arch to Left Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 021X4JA — Bypass Thoracic Aorta, Ascending/Arch to Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach, 021X4JB — Bypass Thoracic Aorta, Ascending/Arch to Subclavian with Synthetic Substitute, Percutaneous Endoscopic Approach, 021X4JD — Bypass Thoracic Aorta, Ascending/Arch to Carotid with Synthetic Substitute, Percutaneous Endoscopic Approach, 021X4JP — Bypass Thoracic Aorta, Ascending/Arch to Pulmonary Trunk with Synthetic Substitute, Percutaneous Endoscopic Approach, 021X4JQ — Bypass Thoracic Aorta, Ascending/Arch to Right Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach, 021X4JR — Bypass Thoracic Aorta, Ascending/Arch to Left Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach, 021X4KA — Bypass Thoracic Aorta, Ascending/Arch to Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021X4KB — Bypass Thoracic Aorta, Ascending/Arch to Subclavian with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021X4KD — Bypass Thoracic Aorta, Ascending/Arch to Carotid with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021X4KP — Bypass Thoracic Aorta, Ascending/Arch to Pulmonary Trunk with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021X4KQ — Bypass Thoracic Aorta, Ascending/Arch to Right Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021X4KR — Bypass Thoracic Aorta, Ascending/Arch to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 021X4ZA — Bypass Thoracic Aorta, Ascending/Arch to Innominate Artery, Percutaneous Endoscopic Approach, 021X4ZB — Bypass Thoracic Aorta, Ascending/Arch to Subclavian, Percutaneous Endoscopic Approach, 021X4ZD — Bypass Thoracic Aorta, Ascending/Arch to Carotid, Percutaneous Endoscopic Approach, 021X4ZP — Bypass Thoracic Aorta, Ascending/Arch to Pulmonary Trunk, Percutaneous Endoscopic Approach, 021X4ZQ — Bypass Thoracic Aorta, Ascending/Arch to Right Pulmonary Artery, Percutaneous Endoscopic Approach, 021X4ZR — Bypass Thoracic Aorta, Ascending/Arch to Left Pulmonary Artery, Percutaneous Endoscopic Approach, X2KA30A — Bypass Left Atrium using Conduit through Coronary Sinus to Right Atrium, Percutaneous Approach, New Technology Group 10, +533 more

Contextual Map

Every relationship of 061049P 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 061049P with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

MDC crossing · diagnoses (1850)

  • 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 · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • and 1845 more

Nearest codes

Change history

Change history

  • FY2018 — October 1, 2017
    Added to the code set
    Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Percutaneous Endoscopic Approach
    FY2018 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources