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ICD 10 Code 03170AW

Bypass Right Brachial Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach
“Bypass R Brach Art to Low Extrem Vn w Autol Art, Open” for short

03170AW is a valid billable ICD-10 procedure code for Bypass Right Brachial Artery to Lower Extremity Vein 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

Brachial Artery, Right body part includes:

  • Inferior ulnar collateral artery
  • Profunda brachii
  • Superior ulnar collateral artery
MS-DRG - Medicare Severity-Diagnosis Related Group
  • 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 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
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 03170AW — See Table View

1: Section 0 Medical and Surgical
2: Body System 3 Upper Arteries
3: Root Operation 1 Bypass
4: Body Part 7 Brachial Artery, Right
5: Approach 0 Open
6: Device A Autologous Arterial Tissue
7: Qualifier W Lower Extremity Vein

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.