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  • Version 2026
  • Billable Code

2026 ICD-10-PCS Procedure Code 061049R

Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

ICD-10-PCS Code:
061049R
ICD-10-PCS Code for:
Bypass Inf Vena Cava to L Pulm Art w Autol Vn, Perc Endo
Is Billable?
Yes - Valid for Submission
Code Navigator:

061049R is a billable procedure code used to specify the performance of bypass inferior vena cava to left pulmonary artery with autologous venous tissue, percutaneous endoscopic approach. The code is valid for the year 2026 for the submission of HIPAA-covered transactions. The procedure code involves altering the route of passage of the contents of a tubular body part. Procedure code explanation: 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 coronary artery bypass, colostomy formation

061049R PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the lower veins body system, classified under bypass operation. The applicable bodypart for this procedure code is inferior vena cava.

Position Designation Character Label Procedures Notes
1 Section 0 Medical and Surgical
2 Body System 6 Lower Veins
3 Operation 1 Bypass

Involves:
Altering the route of passage of the contents of a tubular body part

Explanation:
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

Includes:
  • Coronary artery bypass, colostomy formation
4 BodyPart 0 Inferior Vena Cava Includes:
  • Postcava
  • Right inferior phrenic vein
  • Right ovarian vein
  • Right second lumbar vein
  • Right suprarenal vein
  • Right testicular vein
5 Approach 4 Percutaneous Endoscopic

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
6 Device 9 Autologous Venous Tissue
7 Qualifier R Pulmonary Artery, Left

Replacement Code

061049R replaces the following previously assigned ICD-10-PCS code(s):

  • 021649R - Bypass R Atrium to L Pulm Art w Autol Vn, Perc Endo
  • 021649R - Bypass R Atrium to L Pulm Art w Autol Vn, Perc Endo
  • 021649R - Bypass R Atrium to L Pulm Art w Autol Vn, Perc Endo
  • 021649R - Bypass R Atrium to L Pulm Art w Autol Vn, Perc Endo
  • 021649R - Bypass R Atrium to L Pulm Art w Autol Vn, Perc Endo
  • 021649R - Bypass R Atrium to L Pulm Art w Autol Vn, Perc Endo
  • 021649R - Bypass R Atrium to L Pulm Art w Autol Vn, Perc Endo

Convert to ICD-9-PCS

Below are the ICD-9=PCS code(s) that most closely match this ICD-10-PCS code, based on the General Equivalence Mappings (GEMs). This ICD-10-PCS to ICD-9-PCS crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.

ICD-9-PCS Code

Code: 391

Approximate Flag: This is an approximate match. The ICD-9-PCS code reflects a close but not exact equivalent of the ICD-10-PCS procedure.

Other ICD-10-PCS Codes Used for Bypass Inferior Vena Cava


  • 0610075 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Tissue Substitute, Open Approach

  • 0610076 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Tissue Substitute, Open Approach

  • 061007P Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Tissue Substitute, Open Approach

  • 061007Q Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Tissue Substitute, Open Approach

  • 061007R Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Tissue Substitute, Open Approach

  • 061007Y Bypass Inferior Vena Cava to Lower Vein with Autologous Tissue Substitute, Open Approach

  • 0610095 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Venous Tissue, Open Approach

  • 0610096 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Venous Tissue, Open Approach

  • 061009P Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Open Approach

  • 061009Q Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Venous Tissue, Open Approach

  • 061009R Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Venous Tissue, Open Approach

  • 061009Y Bypass Inferior Vena Cava to Lower Vein with Autologous Venous Tissue, Open Approach

  • 06100A5 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Arterial Tissue, Open Approach

  • 06100A6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Arterial Tissue, Open Approach

  • 06100AP Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Arterial Tissue, Open Approach

  • 06100AQ Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Arterial Tissue, Open Approach

  • 06100AR Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Arterial Tissue, Open Approach

  • 06100AY Bypass Inferior Vena Cava to Lower Vein with Autologous Arterial Tissue, Open Approach

  • 06100J5 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Synthetic Substitute, Open Approach

  • 06100J6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Synthetic Substitute, Open Approach

  • 06100JP Bypass Inferior Vena Cava to Pulmonary Trunk with Synthetic Substitute, Open Approach

  • 06100JQ Bypass Inferior Vena Cava to Right Pulmonary Artery with Synthetic Substitute, Open Approach

  • 06100JR Bypass Inferior Vena Cava to Left Pulmonary Artery with Synthetic Substitute, Open Approach

  • 06100JY Bypass Inferior Vena Cava to Lower Vein with Synthetic Substitute, Open Approach

  • 06100K5 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Nonautologous Tissue Substitute, Open Approach

  • 06100K6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Nonautologous Tissue Substitute, Open Approach

  • 06100KP Bypass Inferior Vena Cava to Pulmonary Trunk with Nonautologous Tissue Substitute, Open Approach

  • 06100KQ Bypass Inferior Vena Cava to Right Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach

  • 06100KR Bypass Inferior Vena Cava to Left Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach

  • 06100KY Bypass Inferior Vena Cava to Lower Vein with Nonautologous Tissue Substitute, Open Approach

  • 06100Z5 Bypass Inferior Vena Cava to Superior Mesenteric Vein, Open Approach

  • 06100Z6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein, Open Approach

  • 06100ZP Bypass Inferior Vena Cava to Pulmonary Trunk, Open Approach

  • 06100ZQ Bypass Inferior Vena Cava to Right Pulmonary Artery, Open Approach

  • 06100ZR Bypass Inferior Vena Cava to Left Pulmonary Artery, Open Approach

  • 06100ZY Bypass Inferior Vena Cava to Lower Vein, Open Approach

  • 0610475 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0610476 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 061047P Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 061047Q Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 061047R Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 061047Y Bypass Inferior Vena Cava to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 0610495 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach

  • 0610496 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach

  • 061049P Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Percutaneous Endoscopic Approach

  • 061049Q Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

  • 061049Y Bypass Inferior Vena Cava to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach

  • 06104A5 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

  • 06104A6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

  • 06104AP Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

  • 06104AQ Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

  • 06104AR Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

  • 06104AY Bypass Inferior Vena Cava to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

  • 06104J5 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 06104J6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 06104JP Bypass Inferior Vena Cava to Pulmonary Trunk with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 06104JQ Bypass Inferior Vena Cava to Right Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 06104JR Bypass Inferior Vena Cava to Left Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 06104JY Bypass Inferior Vena Cava to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 06104K5 Bypass Inferior Vena Cava to Superior Mesenteric Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 06104K6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 06104KP Bypass Inferior Vena Cava to Pulmonary Trunk with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 06104KQ Bypass Inferior Vena Cava to Right Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 06104KR Bypass Inferior Vena Cava to Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 06104KY Bypass Inferior Vena Cava to Lower Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 06104Z5 Bypass Inferior Vena Cava to Superior Mesenteric Vein, Percutaneous Endoscopic Approach

  • 06104Z6 Bypass Inferior Vena Cava to Inferior Mesenteric Vein, Percutaneous Endoscopic Approach

  • 06104ZP Bypass Inferior Vena Cava to Pulmonary Trunk, Percutaneous Endoscopic Approach

  • 06104ZQ Bypass Inferior Vena Cava to Right Pulmonary Artery, Percutaneous Endoscopic Approach

  • 06104ZR Bypass Inferior Vena Cava to Left Pulmonary Artery, Percutaneous Endoscopic Approach

  • 06104ZY Bypass Inferior Vena Cava to Lower Vein, Percutaneous Endoscopic Approach

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2026 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2025 through September 30, 2026.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.