021W4ABBypass Thoracic Aorta, Descending to Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 021W4AB
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

021W4AB is a billable ICD-10-PCS procedure code for Bypass Thoracic Aorta, Descending to Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Bypass involves altering the route of passage of the contents of a tubular body part.

Code Identity

ICD-10-PCS Code
021W4AB
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Thoracic Aorta, Descending to Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
Parent Code
Short Description
Bypass Thor Aorta Desc to Subclav w Autol Art, 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
4BodyPartWThoracic Aorta, Descending
5Approach4Percutaneous Endoscopic
6DeviceAAutologous Arterial Tissue
7QualifierBSubclavian

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 021W4AB under the General Equivalence Mappings.

39.22
Approximate match.

Code History

Replaced in the FY 2026 code set by:
  • 021W4AA — Bypass Thor Aorta Desc to Innom Art w Autol Art, Perc Endo
  • 021X4AB — Bypass Thor Aorta Asc to Subclav w Autol Art, Perc Endo

Similar Procedure Codes

Questions About 021W4AB

Is 021W4AB a billable code?

Yes. 021W4AB is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Thoracic Aorta, Descending to Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 021W4AB mean?

021W4AB 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 W is the BodyPart (Thoracic Aorta, Descending); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character A is the Device (Autologous Arterial Tissue); the 7th character B is the Qualifier (Subclavian).

What MS-DRG does 021W4AB group to?

On an inpatient stay, Bypass Thoracic Aorta, Descending to Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach maps to MS-DRGs 037, 038, 039, 270, 271, 272, 907, 908, 909, 957, 958, 959, with relative weights from 1.1755 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 021W4AB?

Under the General Equivalence Mappings, Bypass Thoracic Aorta, Descending to Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 39.22. The mapping is approximate, so confirm it fits the documentation.