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Inpatient Procedure Code

061B49Y

Bypass Left Renal Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach

Bypass L Renal Vein to Low Vein w Autol Vn, 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.

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 PartB

Renal Vein, Left

5
Approach4

Percutaneous Endoscopic

6
Device9

Autologous Venous Tissue

7
QualifierY

Lower Vein

Potential MS-DRG Relationships (FY2026)

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.

061649Y — Bypass Inferior Mesenteric Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061749Y — Bypass Colic Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061849Y — Bypass Portal Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061949Y — Bypass Right Renal Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061C49Y — Bypass Right Common Iliac Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061D49Y — Bypass Left Common Iliac Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061F49Y — Bypass Right External Iliac Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, 061G49Y — Bypass Left External Iliac Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach, +14 more

Same operation — other Approach

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

061B09Y — Bypass Left Renal Vein to Lower Vein with Autologous Venous Tissue, Open Approach

Same operation — other Device

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

061B47Y — Bypass Left Renal Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 061B4AY — Bypass Left Renal Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach, 061B4JY — Bypass Left Renal Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach, 061B4KY — Bypass Left Renal Vein to Lower Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 061B4ZY — Bypass Left Renal Vein to Lower Vein, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 061B49Y 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

  • 061[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

  • DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”
  • DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”
  • DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”

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.”
  • 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 1839 more

Nearest codes

  • 061049Y — Bypass Inferior Vena Cava to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 061149Y — Bypass Splenic Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 061249Y — Bypass Gastric Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 061349Y — Bypass Esophageal Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 061449Y — Bypass Hepatic Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 061549Y — Bypass Superior Mesenteric Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 061649Y — Bypass Inferior Mesenteric Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]
  • 061749Y — Bypass Colic Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.