03170K0Bypass Right Brachial Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach

  • Billable / Specific Code
ICD-10-PCS 03170K0
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

03170K0 is a billable ICD-10-PCS procedure code for Bypass Right Brachial Artery to Right Upper Arm 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
03170K0
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Right Brachial Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach
Parent Code
Short Description
Bypass R Brach Art to R Up Arm Art w Nonaut Sub, Open

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
4BodyPart7Brachial Artery, Right
5Approach0Open
6DeviceKNonautologous Tissue Substitute
7Qualifier0Upper Arm Artery, Right

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 03170K0 under the General Equivalence Mappings.

39.29
Approximate match.

Similar Procedure Codes

Questions About 03170K0

Is 03170K0 a billable code?

Yes. 03170K0 is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Right Brachial Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 03170K0 mean?

03170K0 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 7 is the BodyPart (Brachial Artery, Right); the 5th character 0 is the Approach (Open); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character 0 is the Qualifier (Upper Arm Artery, Right).

What MS-DRG does 03170K0 group to?

On an inpatient stay, Bypass Right Brachial Artery to Right Upper Arm 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.

What is the ICD-9-PCS equivalent of 03170K0?

Under the General Equivalence Mappings, Bypass Right Brachial Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 39.29. The mapping is approximate, so confirm it fits the documentation.