021V49RBypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 021V49R
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

021V49R is a billable ICD-10-PCS procedure code for Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRGs 270, 271, 272. The root operation Bypass involves altering the route of passage of the contents of a tubular body part.

Code Identity

ICD-10-PCS Code
021V49R
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
Parent Code
Short Description
Bypass Sup Vena Cava to L Pulm Art w Autol Vn, Perc Endo

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System2Heart and Great Vessels
3Operation1Bypass
4BodyPartVSuperior Vena Cava
5Approach4Percutaneous Endoscopic
6Device9Autologous Venous Tissue
7QualifierRPulmonary Artery, Left

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 021V49R under the General Equivalence Mappings.

39.21
Approximate match.

Similar Procedure Codes

Questions About 021V49R

Is 021V49R a billable code?

Yes. 021V49R is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 021V49R mean?

021V49R breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 2 is the Body System (Heart and Great Vessels); the 3rd character 1 is the Operation (Bypass); the 4th character V is the BodyPart (Superior Vena Cava); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 9 is the Device (Autologous Venous Tissue); the 7th character R is the Qualifier (Pulmonary Artery, Left).

What MS-DRG does 021V49R group to?

On an inpatient stay, Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach maps to MS-DRGs 270, 271, 272, with relative weights from 2.5530 to 5.2763. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 021V49R?

Under the General Equivalence Mappings, Bypass Superior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 39.21. The mapping is approximate, so confirm it fits the documentation.