1. Home
  2. ICD-10-PCS
  3. 02104A9
  4. Share
  5. Feedback

ICD 10 Code 02104A9

Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
“Bypass 1 Cor Art from L Int Mammary w Autol Art, Perc Endo” for short

02104A9 is a valid billable ICD-10 procedure code for Bypass Coronary Artery, One Artery from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic 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

Percutaneous Endoscopic approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize 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
    Coronary Bypass
    • DRG 231 - CORONARY BYPASS WITH PTCA WITH MCC
    • DRG 232 - CORONARY BYPASS WITH PTCA WITHOUT MCC
    • DRG 233 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC
    • DRG 234 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC
    • DRG 235 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
    • DRG 236 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

ICD-10-PCS code structure for 02104A9 — See Table View

1: Section 0 Medical and Surgical
2: Body System 2 Heart and Great Vessels
3: Root Operation 1 Bypass
4: Body Part 0 Coronary Artery, One Artery
5: Approach 4 Percutaneous Endoscopic
6: Device A Autologous Arterial Tissue
7: Qualifier 9 Internal Mammary, 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.