03120KYBypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach

ICD-10-PCS 03120KY
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

03120KY is a billable ICD-10-PCS procedure code for Bypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRGs 252, 253, 254. The root operation Bypass involves altering the route of passage of the contents of a tubular body part.

Code Identity

ICD-10-PCS Code
03120KY
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach
Parent Code
Short Description
Bypass Innom Art to Up Art with Nonaut Sub, Open Approach

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 System3Upper Arteries
3Operation1Bypass
4BodyPart2Innominate Artery
5Approach0Open
6DeviceKNonautologous Tissue Substitute
7QualifierYUpper Artery

Code History

FY 2026New code, effective October 1, 2025.
Replaces previously assigned code(s):
  • 03Q20ZZ — Repair Innominate Artery, Open Approach

Similar Procedure Codes

Questions About 03120KY

Is 03120KY a billable code?

Yes. 03120KY is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 03120KY mean?

03120KY breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 3 is the Body System (Upper Arteries); the 3rd character 1 is the Operation (Bypass); the 4th character 2 is the BodyPart (Innominate Artery); the 5th character 0 is the Approach (Open); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Y is the Qualifier (Upper Artery).

What MS-DRG does 03120KY group to?

On an inpatient stay, Bypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach maps to MS-DRGs 252, 253, 254, with relative weights from 1.7817 to 3.4883. The MS-DRG sets the fixed Medicare payment for the stay.