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ICD-10-PCS Table

041

Lower Arteries, Bypass

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

1560 codes total in this table

Axis Grid

Body Part
  • 0Abdominal Aorta
  • CCommon Iliac Artery, Right
  • DCommon Iliac Artery, Left
Approach
  • 0Open
  • 4Percutaneous Endoscopic
Device
  • 9Autologous Venous Tissue
  • AAutologous Arterial Tissue
  • JSynthetic Substitute
  • KNonautologous Tissue Substitute
  • ZNo Device
Qualifier
  • 0Abdominal Aorta
  • 1Celiac Artery
  • 2Mesenteric Artery
  • 3Renal Artery, Right
  • 4Renal Artery, Left
  • 5Renal Artery, Bilateral
  • 6Common Iliac Artery, Right
  • 7Common Iliac Artery, Left
  • 8Common Iliac Arteries, Bilateral
  • 9Internal Iliac Artery, Right
  • BInternal Iliac Artery, Left
  • CInternal Iliac Arteries, Bilateral
  • DExternal Iliac Artery, Right
  • FExternal Iliac Artery, Left
  • GExternal Iliac Arteries, Bilateral
  • HFemoral Artery, Right
  • JFemoral Artery, Left
  • KFemoral Arteries, Bilateral
  • QLower Extremity Artery
  • RLower Artery
600 codes in this combination
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more
Body Part
  • 3Hepatic Artery
  • 4Splenic Artery
Approach
  • 0Open
  • 4Percutaneous Endoscopic
Device
  • 9Autologous Venous Tissue
  • AAutologous Arterial Tissue
  • JSynthetic Substitute
  • KNonautologous Tissue Substitute
  • ZNo Device
Qualifier
  • 3Renal Artery, Right
  • 4Renal Artery, Left
  • 5Renal Artery, Bilateral
  • RLower Artery
80 codes in this combination
041309304130940413095041309R04130A304130A404130A504130AR04130J304130J404130J504130JR04130K304130K404130K504130KR04130Z304130Z404130Z504130ZR041349304134940413495041349R04134A304134A404134A504134AR04134J304134J404134J504134JR04134K304134K404134K504134KR04134Z304134Z404134Z504134ZR041409304140940414095041409R04140A304140A404140A504140AR04140J304140J404140J504140JR04140K304140K404140K504140KR04140Z304140Z404140Z504140ZR041449304144940414495041449R04144A304144A404144A504144AR04144J304144J404144J504144JR04144K304144K404144K504144KR04144Z304144Z404144Z504144ZR
Body Part
  • EInternal Iliac Artery, Right
  • FInternal Iliac Artery, Left
  • HExternal Iliac Artery, Right
  • JExternal Iliac Artery, Left
Approach
  • 0Open
  • 4Percutaneous Endoscopic
Device
  • 9Autologous Venous Tissue
  • AAutologous Arterial Tissue
  • JSynthetic Substitute
  • KNonautologous Tissue Substitute
  • ZNo Device
Qualifier
  • 9Internal Iliac Artery, Right
  • BInternal Iliac Artery, Left
  • CInternal Iliac Arteries, Bilateral
  • DExternal Iliac Artery, Right
  • FExternal Iliac Artery, Left
  • GExternal Iliac Arteries, Bilateral
  • HFemoral Artery, Right
  • JFemoral Artery, Left
  • KFemoral Arteries, Bilateral
  • PFoot Artery
  • QLower Extremity Artery
440 codes in this combination
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 more
Body Part
  • KFemoral Artery, Right
  • LFemoral Artery, Left
Approach
  • 0Open
  • 4Percutaneous Endoscopic
Device
  • 9Autologous Venous Tissue
  • AAutologous Arterial Tissue
  • JSynthetic Substitute
  • KNonautologous Tissue Substitute
  • ZNo Device
Qualifier
  • HFemoral Artery, Right
  • JFemoral Artery, Left
  • KFemoral Arteries, Bilateral
  • LPopliteal Artery
  • MPeroneal Artery
  • NPosterior Tibial Artery
  • PFoot Artery
  • QLower Extremity Artery
  • SLower Extremity Vein
180 codes in this combination
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
Body Part
  • KFemoral Artery, Right
  • LFemoral Artery, Left
Approach
  • 3Percutaneous
Device
  • JSynthetic Substitute
Qualifier
  • QLower Extremity Artery
  • SLower Extremity Vein
4 codes in this combination
041K3JQ041K3JS041L3JQ041L3JS
Body Part
  • MPopliteal Artery, Right
  • NPopliteal Artery, Left
Approach
  • 0Open
  • 4Percutaneous Endoscopic
Device
  • 9Autologous Venous Tissue
  • AAutologous Arterial Tissue
  • JSynthetic Substitute
  • KNonautologous Tissue Substitute
  • ZNo Device
Qualifier
  • LPopliteal Artery
  • MPeroneal Artery
  • PFoot Artery
  • QLower Extremity Artery
  • SLower Extremity Vein
100 codes in this combination
041M09L041M09M041M09P041M09Q041M09S041M0AL041M0AM041M0AP041M0AQ041M0AS041M0JL041M0JM041M0JP041M0JQ041M0JS041M0KL041M0KM041M0KP041M0KQ041M0KS041M0ZL041M0ZM041M0ZP041M0ZQ041M0ZS041M49L041M49M041M49P041M49Q041M49S041M4AL041M4AM041M4AP041M4AQ041M4AS041M4JL041M4JM041M4JP041M4JQ041M4JS041M4KL041M4KM041M4KP041M4KQ041M4KS041M4ZL041M4ZM041M4ZP041M4ZQ041M4ZS041N09L041N09M041N09P041N09Q041N09S041N0AL041N0AM041N0AP041N0AQ041N0AS041N0JL041N0JM041N0JP041N0JQ041N0JS041N0KL041N0KM041N0KP041N0KQ041N0KS041N0ZL041N0ZM041N0ZP041N0ZQ041N0ZS041N49L041N49M041N49P041N49Q041N49S041N4AL041N4AM041N4AP041N4AQ041N4AS041N4JL041N4JM041N4JP041N4JQ041N4JS041N4KL041N4KM041N4KP041N4KQ041N4KS041N4ZL041N4ZM041N4ZP041N4ZQ041N4ZS
Body Part
  • MPopliteal Artery, Right
  • NPopliteal Artery, Left
Approach
  • 3Percutaneous
Device
  • JSynthetic Substitute
Qualifier
  • QLower Extremity Artery
  • SLower Extremity Vein
4 codes in this combination
041M3JQ041M3JS041N3JQ041N3JS
Body Part
  • PAnterior Tibial Artery, Right
  • QAnterior Tibial Artery, Left
  • RPosterior Tibial Artery, Right
  • SPosterior Tibial Artery, Left
Approach
  • 0Open
  • 3Percutaneous
  • 4Percutaneous Endoscopic
Device
  • JSynthetic Substitute
Qualifier
  • QLower Extremity Artery
  • SLower Extremity Vein
24 codes in this combination
041P0JQ041P0JS041P3JQ041P3JS041P4JQ041P4JS041Q0JQ041Q0JS041Q3JQ041Q3JS041Q4JQ041Q4JS041R0JQ041R0JS041R3JQ041R3JS041R4JQ041R4JS041S0JQ041S0JS041S3JQ041S3JS041S4JQ041S4JS
Body Part
  • TPeroneal Artery, Right
  • UPeroneal Artery, Left
  • VFoot Artery, Right
  • WFoot Artery, Left
Approach
  • 0Open
  • 4Percutaneous Endoscopic
Device
  • 9Autologous Venous Tissue
  • AAutologous Arterial Tissue
  • JSynthetic Substitute
  • KNonautologous Tissue Substitute
  • ZNo Device
Qualifier
  • PFoot Artery
  • QLower Extremity Artery
  • SLower Extremity Vein
120 codes in this combination
041T09P041T09Q041T09S041T0AP041T0AQ041T0AS041T0JP041T0JQ041T0JS041T0KP041T0KQ041T0KS041T0ZP041T0ZQ041T0ZS041T49P041T49Q041T49S041T4AP041T4AQ041T4AS041T4JP041T4JQ041T4JS041T4KP041T4KQ041T4KS041T4ZP041T4ZQ041T4ZS041U09P041U09Q041U09S041U0AP041U0AQ041U0AS041U0JP041U0JQ041U0JS041U0KP041U0KQ041U0KS041U0ZP041U0ZQ041U0ZS041U49P041U49Q041U49S041U4AP041U4AQ041U4AS041U4JP041U4JQ041U4JS041U4KP041U4KQ041U4KS041U4ZP041U4ZQ041U4ZS041V09P041V09Q041V09S041V0AP041V0AQ041V0AS041V0JP041V0JQ041V0JS041V0KP041V0KQ041V0KS041V0ZP041V0ZQ041V0ZS041V49P041V49Q041V49S041V4AP041V4AQ041V4AS041V4JP041V4JQ041V4JS041V4KP041V4KQ041V4KS041V4ZP041V4ZQ041V4ZS041W09P041W09Q041W09S041W0AP041W0AQ041W0AS041W0JP041W0JQ041W0JS041W0KP041W0KQ041W0KS041W0ZP041W0ZQ041W0ZS041W49P041W49Q041W49S041W4AP041W4AQ041W4AS041W4JP041W4JQ041W4JS041W4KP041W4KQ041W4KS041W4ZP041W4ZQ041W4ZS
Body Part
  • TPeroneal Artery, Right
  • UPeroneal Artery, Left
  • VFoot Artery, Right
  • WFoot Artery, Left
Approach
  • 3Percutaneous
Device
  • JSynthetic Substitute
Qualifier
  • QLower Extremity Artery
  • SLower Extremity Vein
8 codes in this combination
041T3JQ041T3JS041U3JQ041U3JS041V3JQ041V3JS041W3JQ041W3JS

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

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