ICD-10-PCS Table

031

Upper Arteries, Bypass

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

671 codes total in this table

Axis Grid

Body Part

2Innominate Artery

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

0Upper Arm Artery, Right
1Upper Arm Artery, Left
2Upper Arm Artery, Bilateral
3Lower Arm Artery, Right
4Lower Arm Artery, Left
5Lower Arm Artery, Bilateral
6Upper Leg Artery, Right
7Upper Leg Artery, Left
8Upper Leg Artery, Bilateral
9Lower Leg Artery, Right
BLower Leg Artery, Left
CLower Leg Artery, Bilateral
DUpper Arm Vein
FLower Arm Vein
JExtracranial Artery, Right
KExtracranial Artery, Left
WLower Extremity Vein
YUpper Artery

Body Part

3Subclavian Artery, Right
4Subclavian Artery, Left

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

0Upper Arm Artery, Right
1Upper Arm Artery, Left
2Upper Arm Artery, Bilateral
3Lower Arm Artery, Right
4Lower Arm Artery, Left
5Lower Arm Artery, Bilateral
6Upper Leg Artery, Right
7Upper Leg Artery, Left
8Upper Leg Artery, Bilateral
9Lower Leg Artery, Right
BLower Leg Artery, Left
CLower Leg Artery, Bilateral
DUpper Arm Vein
FLower Arm Vein
JExtracranial Artery, Right
KExtracranial Artery, Left
MPulmonary Artery, Right
NPulmonary Artery, Left
WLower Extremity Vein

190 codes in this combination

0313090 0313091 0313092 0313093 0313094 0313095 0313096 0313097 0313098 0313099 031309B 031309C 031309D 031309F 031309J 031309K 031309M 031309N 031309W 03130A0 03130A1 03130A2 03130A3 03130A4 03130A5 03130A6 03130A7 03130A8 03130A9 03130AB 03130AC 03130AD 03130AF 03130AJ 03130AK 03130AM 03130AN 03130AW 03130J0 03130J1 03130J2 03130J3 03130J4 03130J5 03130J6 03130J7 03130J8 03130J9 03130JB 03130JC 03130JD 03130JF 03130JJ 03130JK 03130JM 03130JN 03130JW 03130K0 03130K1 03130K2 03130K3 03130K4 03130K5 03130K6 03130K7 03130K8 03130K9 03130KB 03130KC 03130KD 03130KF 03130KJ 03130KK 03130KM 03130KN 03130KW 03130Z0 03130Z1 03130Z2 03130Z3 03130Z4 03130Z5 03130Z6 03130Z7 03130Z8 03130Z9 03130ZB 03130ZC 03130ZD 03130ZF 03130ZJ 03130ZK 03130ZM 03130ZN 03130ZW 0314090 0314091 0314092 0314093 0314094 0314095 0314096 0314097 0314098 0314099 031409B 031409C 031409D 031409F 031409J 031409K 031409M 031409N 031409W 03140A0 03140A1 03140A2 03140A3 03140A4 03140A5 03140A6 03140A7 03140A8 03140A9 03140AB 03140AC 03140AD 03140AF 03140AJ 03140AK 03140AM 03140AN 03140AW 03140J0 03140J1 03140J2 03140J3 03140J4 03140J5 03140J6 03140J7 03140J8 03140J9 03140JB 03140JC 03140JD 03140JF 03140JJ 03140JK 03140JM 03140JN 03140JW 03140K0 03140K1 03140K2 03140K3 03140K4 03140K5 03140K6 03140K7 03140K8 03140K9 03140KB 03140KC 03140KD 03140KF 03140KJ 03140KK 03140KM 03140KN 03140KW 03140Z0 03140Z1 03140Z2 03140Z3 03140Z4 03140Z5 03140Z6 03140Z7 03140Z8 03140Z9 03140ZB 03140ZC 03140ZD 03140ZF 03140ZJ 03140ZK 03140ZM 03140ZN 03140ZW

Body Part

5Axillary Artery, Right
6Axillary Artery, Left

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

0Upper Arm Artery, Right
1Upper Arm Artery, Left
2Upper Arm Artery, Bilateral
3Lower Arm Artery, Right
4Lower Arm Artery, Left
5Lower Arm Artery, Bilateral
6Upper Leg Artery, Right
7Upper Leg Artery, Left
8Upper Leg Artery, Bilateral
9Lower Leg Artery, Right
BLower Leg Artery, Left
CLower Leg Artery, Bilateral
DUpper Arm Vein
FLower Arm Vein
JExtracranial Artery, Right
KExtracranial Artery, Left
TAbdominal Artery
VSuperior Vena Cava
WLower Extremity Vein

190 codes in this combination

0315090 0315091 0315092 0315093 0315094 0315095 0315096 0315097 0315098 0315099 031509B 031509C 031509D 031509F 031509J 031509K 031509T 031509V 031509W 03150A0 03150A1 03150A2 03150A3 03150A4 03150A5 03150A6 03150A7 03150A8 03150A9 03150AB 03150AC 03150AD 03150AF 03150AJ 03150AK 03150AT 03150AV 03150AW 03150J0 03150J1 03150J2 03150J3 03150J4 03150J5 03150J6 03150J7 03150J8 03150J9 03150JB 03150JC 03150JD 03150JF 03150JJ 03150JK 03150JT 03150JV 03150JW 03150K0 03150K1 03150K2 03150K3 03150K4 03150K5 03150K6 03150K7 03150K8 03150K9 03150KB 03150KC 03150KD 03150KF 03150KJ 03150KK 03150KT 03150KV 03150KW 03150Z0 03150Z1 03150Z2 03150Z3 03150Z4 03150Z5 03150Z6 03150Z7 03150Z8 03150Z9 03150ZB 03150ZC 03150ZD 03150ZF 03150ZJ 03150ZK 03150ZT 03150ZV 03150ZW 0316090 0316091 0316092 0316093 0316094 0316095 0316096 0316097 0316098 0316099 031609B 031609C 031609D 031609F 031609J 031609K 031609T 031609V 031609W 03160A0 03160A1 03160A2 03160A3 03160A4 03160A5 03160A6 03160A7 03160A8 03160A9 03160AB 03160AC 03160AD 03160AF 03160AJ 03160AK 03160AT 03160AV 03160AW 03160J0 03160J1 03160J2 03160J3 03160J4 03160J5 03160J6 03160J7 03160J8 03160J9 03160JB 03160JC 03160JD 03160JF 03160JJ 03160JK 03160JT 03160JV 03160JW 03160K0 03160K1 03160K2 03160K3 03160K4 03160K5 03160K6 03160K7 03160K8 03160K9 03160KB 03160KC 03160KD 03160KF 03160KJ 03160KK 03160KT 03160KV 03160KW 03160Z0 03160Z1 03160Z2 03160Z3 03160Z4 03160Z5 03160Z6 03160Z7 03160Z8 03160Z9 03160ZB 03160ZC 03160ZD 03160ZF 03160ZJ 03160ZK 03160ZT 03160ZV 03160ZW

Body Part

7Brachial Artery, Right

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

0Upper Arm Artery, Right
3Lower Arm Artery, Right
DUpper Arm Vein
FLower Arm Vein
VSuperior Vena Cava
WLower Extremity Vein

30 codes in this combination

Body Part

7Brachial Artery, Right

Approach

3Percutaneous

Device

ZNo Device

Qualifier

FLower Arm Vein

1 code in this combination

03173ZF

Body Part

8Brachial Artery, Left

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

1Upper Arm Artery, Left
4Lower Arm Artery, Left
DUpper Arm Vein
FLower Arm Vein
VSuperior Vena Cava
WLower Extremity Vein

30 codes in this combination

Body Part

8Brachial Artery, Left

Approach

3Percutaneous

Device

ZNo Device

Qualifier

FLower Arm Vein

1 code in this combination

03183ZF

Body Part

9Ulnar Artery, Right
BRadial Artery, Right

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

3Lower Arm Artery, Right
FLower Arm Vein

20 codes in this combination

0319093 031909F 03190A3 03190AF 03190J3 03190JF 03190K3 03190KF 03190Z3 03190ZF 031B093 031B09F 031B0A3 031B0AF 031B0J3 031B0JF 031B0K3 031B0KF 031B0Z3 031B0ZF

Body Part

9Ulnar Artery, Right
BRadial Artery, Right

Approach

3Percutaneous

Device

ZNo Device

Qualifier

FLower Arm Vein

2 codes in this combination

03193ZF 031B3ZF

Body Part

AUlnar Artery, Left
CRadial Artery, Left

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

4Lower Arm Artery, Left
FLower Arm Vein

20 codes in this combination

031A094 031A09F 031A0A4 031A0AF 031A0J4 031A0JF 031A0K4 031A0KF 031A0Z4 031A0ZF 031C094 031C09F 031C0A4 031C0AF 031C0J4 031C0JF 031C0K4 031C0KF 031C0Z4 031C0ZF

Body Part

AUlnar Artery, Left
CRadial Artery, Left

Approach

3Percutaneous

Device

ZNo Device

Qualifier

FLower Arm Vein

2 codes in this combination

031A3ZF 031C3ZF

Body Part

GIntracranial Artery
STemporal Artery, Right
TTemporal Artery, Left

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

GIntracranial Artery

15 codes in this combination

031G09G 031G0AG 031G0JG 031G0KG 031G0ZG 031S09G 031S0AG 031S0JG 031S0KG 031S0ZG 031T09G 031T0AG 031T0JG 031T0KG 031T0ZG

Body Part

HCommon Carotid Artery, Right
JCommon Carotid Artery, Left

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

GIntracranial Artery
JExtracranial Artery, Right
KExtracranial Artery, Left
YUpper Artery

Body Part

KInternal Carotid Artery, Right
LInternal Carotid Artery, Left
MExternal Carotid Artery, Right
NExternal Carotid Artery, Left

Approach

0Open

Device

9Autologous Venous Tissue
AAutologous Arterial Tissue
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Device

Qualifier

JExtracranial Artery, Right
KExtracranial Artery, Left

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027. All data sources · How to read the labels

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