1. Home
  2. ICD-10-PCS
  3. 0316091
  4. Share
  5. Feedback

ICD 10 Code 0316091

Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach
“Bypass L Axilla Art to L Up Arm Art w Autol Vn, Open” for short

0316091 is a valid billable ICD-10 procedure code for Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Venous 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

Axillary Artery, Left body part includes:

  • Anterior circumflex humeral artery
  • Lateral thoracic artery
  • Posterior circumflex humeral artery
  • Subscapular artery
  • Superior thoracic artery
  • Thoracoacromial artery
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Extracranial Procedures
    • DRG 037 - EXTRACRANIAL PROCEDURES WITH MCC
    • DRG 038 - EXTRACRANIAL PROCEDURES WITH CC
    • DRG 039 - EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
  • MDC 04 Diseases & Disorders of the Respiratory System
    Other Respiratory System O.R. Procedures
    • DRG 166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
    • DRG 167 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
    • DRG 168 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Vascular Procedures
    • DRG 252 - OTHER VASCULAR PROCEDURES WITH MCC
    • DRG 253 - OTHER VASCULAR PROCEDURES WITH CC
    • DRG 254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
  • MDC 07 Diseases & Disorders of the Hepatobiliary System & Pancreas
    Other Hepatobiliary or Pancreas Procedures
    • DRG 423 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
    • DRG 424 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
    • DRG 425 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 09 Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast
    Other Skin, Subcutaneous Tissue and Breast Procedures
    • DRG 579 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
    • DRG 580 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
    • DRG 581 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
  • MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders
    Other Endocrine, Nutritional and Metabolic Procedures
    • DRG 628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
    • DRG 629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
    • DRG 630 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

ICD-10-PCS code structure for 0316091 — See Table View

1: Section 0 Medical and Surgical
2: Body System 3 Upper Arteries
3: Root Operation 1 Bypass
4: Body Part 6 Axillary Artery, Left
5: Approach 0 Open
6: Device 9 Autologous Venous Tissue
7: Qualifier 1 Upper Arm 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.