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ICD 10 Code 041C0A4

Bypass Right Common Iliac Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach
“Bypass R Com Iliac Art to L Renal A w Autol Art, Open” for short

041C0A4 is a valid billable ICD-10 procedure code for Bypass Right Common Iliac Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Bypass involves:
Altering the route of passage of the contents of a tubular body part. Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Open approach involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Bypass includes:

  • Coronary artery bypass, colostomy formation
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Major Cardiovascular Procedures
    • DRG 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
    • DRG 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
    • DRG 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

ICD-10-PCS code structure for 041C0A4 — See Table View

1: Section 0 Medical and Surgical
2: Body System 4 Lower Arteries
3: Root Operation 1 Bypass
4: Body Part C Common Iliac Artery, Right
5: Approach 0 Open
6: Device A Autologous Arterial Tissue
7: Qualifier 4 Renal Artery, Left

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.