ICD-10-PCS Table - Upper Arteries, Bypass (031)

0 Medical and Surgical
3 Upper Arteries
1 Bypass: Altering the route of passage of the contents of a tubular body part

Body Part Axillary Artery, Left Axillary Artery, Right Brachial Artery, Left Brachial Artery, Right Common Carotid Artery, Left Common Carotid Artery, Right External Carotid Artery, Left External Carotid Artery, Right Innominate Artery Internal Carotid Artery, Left Internal Carotid Artery, Right Intracranial Artery Radial Artery, Left Radial Artery, Right Subclavian Artery, Left Subclavian Artery, Right Temporal Artery, Left Temporal Artery, Right Ulnar Artery, Left Ulnar Artery, Right	5: Approach	6: Device	7: Qualifier
`031----` ← Click code for details.
2 - Innominate Artery	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`0` - Upper Arm Artery, Right `1` - Upper Arm Artery, Left `2` - Upper Arm Artery, Bilateral `3` - Lower Arm Artery, Right `4` - Lower Arm Artery, Left `5` - Lower Arm Artery, Bilateral `6` - Upper Leg Artery, Right `7` - Upper Leg Artery, Left `8` - Upper Leg Artery, Bilateral `9` - Lower Leg Artery, Right `B` - Lower Leg Artery, Left `C` - Lower Leg Artery, Bilateral `D` - Upper Arm Vein `F` - Lower Arm Vein `J` - Extracranial Artery, Right `K` - Extracranial Artery, Left `W` - Lower Extremity Vein
3 - Subclavian Artery, Right 4 - Subclavian Artery, Left	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`0` - Upper Arm Artery, Right `1` - Upper Arm Artery, Left `2` - Upper Arm Artery, Bilateral `3` - Lower Arm Artery, Right `4` - Lower Arm Artery, Left `5` - Lower Arm Artery, Bilateral `6` - Upper Leg Artery, Right `7` - Upper Leg Artery, Left `8` - Upper Leg Artery, Bilateral `9` - Lower Leg Artery, Right `B` - Lower Leg Artery, Left `C` - Lower Leg Artery, Bilateral `D` - Upper Arm Vein `F` - Lower Arm Vein `J` - Extracranial Artery, Right `K` - Extracranial Artery, Left `M` - Pulmonary Artery, Right `N` - Pulmonary Artery, Left `W` - Lower Extremity Vein
5 - Axillary Artery, Right 6 - Axillary Artery, Left	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`0` - Upper Arm Artery, Right `1` - Upper Arm Artery, Left `2` - Upper Arm Artery, Bilateral `3` - Lower Arm Artery, Right `4` - Lower Arm Artery, Left `5` - Lower Arm Artery, Bilateral `6` - Upper Leg Artery, Right `7` - Upper Leg Artery, Left `8` - Upper Leg Artery, Bilateral `9` - Lower Leg Artery, Right `B` - Lower Leg Artery, Left `C` - Lower Leg Artery, Bilateral `D` - Upper Arm Vein `F` - Lower Arm Vein `J` - Extracranial Artery, Right `K` - Extracranial Artery, Left `T` - Abdominal Artery `V` - Superior Vena Cava `W` - Lower Extremity Vein
7 - Brachial Artery, Right	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`0` - Upper Arm Artery, Right `3` - Lower Arm Artery, Right `D` - Upper Arm Vein `F` - Lower Arm Vein `V` - Superior Vena Cava `W` - Lower Extremity Vein
7 - Brachial Artery, Right	`3` - Percutaneous	`Z` - No Device	`F` - Lower Arm Vein
8 - Brachial Artery, Left	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`1` - Upper Arm Artery, Left `4` - Lower Arm Artery, Left `D` - Upper Arm Vein `F` - Lower Arm Vein `V` - Superior Vena Cava `W` - Lower Extremity Vein
8 - Brachial Artery, Left	`3` - Percutaneous	`Z` - No Device	`F` - Lower Arm Vein
9 - Ulnar Artery, Right B - Radial Artery, Right	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`3` - Lower Arm Artery, Right `F` - Lower Arm Vein
9 - Ulnar Artery, Right B - Radial Artery, Right	`3` - Percutaneous	`Z` - No Device	`F` - Lower Arm Vein
A - Ulnar Artery, Left C - Radial Artery, Left	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`4` - Lower Arm Artery, Left `F` - Lower Arm Vein
A - Ulnar Artery, Left C - Radial Artery, Left	`3` - Percutaneous	`Z` - No Device	`F` - Lower Arm Vein
G - Intracranial Artery S - Temporal Artery, Right T - Temporal Artery, Left	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`G` - Intracranial Artery
H - Common Carotid Artery, Right J - Common Carotid Artery, Left	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`G` - Intracranial Artery `J` - Extracranial Artery, Right `K` - Extracranial Artery, Left `Y` - Upper Artery
K - Internal Carotid Artery, Right L - Internal Carotid Artery, Left M - External Carotid Artery, Right N - External Carotid Artery, Left	`0` - Open	`9` - Autologous Venous Tissue `A` - Autologous Arterial Tissue `J` - Synthetic Substitute `K` - Nonautologous Tissue Substitute `Z` - No Device	`J` - Extracranial Artery, Right `K` - Extracranial Artery, Left

ICD-10-PCS Table 031 for Upper Arteries, Bypass

ICD-10-PCS Table `031`
for Upper Arteries, Bypass