ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0213 includes procedures performed to bypass coronary arteries in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when surgical coronary artery bypass grafting is performed on four or more coronary arteries to restore myocardial blood flow. Accurate coding within the ICD-10-PCS 0213 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Coronary Artery, Bypass Procedure Overview

This procedure group includes bypass operations performed on four or more coronary arteries and targets the heart and great vessels. Procedures involve creating alternative routes for blood flow around obstructed coronary arteries to restore myocardial perfusion. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it captures the extent of revascularization and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
1	Operation	Bypass
3	Body Part	Coronary Artery, Four or More Arteries

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ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview

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Coronary Artery, Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
1	Operation	Bypass
3	Body Part	Coronary Artery, Four or More Arteries

When to Use

Use a code from this group when surgical bypass grafting is performed on four or more coronary arteries to reestablish myocardial perfusion. Assign these codes to reflect the number of coronary arteries bypassed and the inpatient operative record.

ICD-10-PCS Codes

74 rows

ICD-10-PCS Code	Description
0213083	Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Open Approach
0213088	Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach
0213089	Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach
021308C	Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach
021308F	Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach
021308W	Bypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Open Approach
0213093	Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach
0213098	Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach
0213099	Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach
021309C	Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach

Showing 1–10 of 74

DRG Codes

9 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
231	Coronary Bypass with PTCA with MCC
232	Coronary Bypass with PTCA without MCC
233	Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC
234	Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC
235	Coronary Bypass without Cardiac Catheterization with MCC
236	Coronary Bypass without Cardiac Catheterization without MCC

Typical Clinical Scenarios

A 68-year-old man presents with acute ST-elevation myocardial infarction involving multiple coronary territories and persistent ischemia despite medical therapy and percutaneous attempts. Coronary angiography shows critical multivessel disease with significant occlusions in four or more coronary arteries; the cardiothoracic team proceeds to urgent open surgical bypass using the left internal mammary artery grafts to achieve durable revascularization. An open approach bypass from the left internal mammary artery is performed to restore myocardial perfusion to multiple territories. Typical codes: 02130A9, 02130Z9
A 59-year-old woman with stable but disabling angina and multivessel coronary artery disease elects for surgical revascularization after heart team discussion. Preoperative imaging documents lesions in four coronary arteries; the planned operation is elective median sternotomy with sequential aorto-coronary vein grafts taken from autologous saphenous vein conduits to bypass the diseased vessels. The procedure is performed via open approach using autologous venous tissue from the patient. Typical codes: 0213093, 02130Z3
A 72-year-old patient with prior coronary bypass presents with recurrent angina and graft failure identified on angiography affecting multiple target vessels; the surgical team performs redo open bypass grafting using an aortic proximal conduit and a synthetic or nonautologous tissue substitute for new grafts to revascularize four or more coronary arteries. The operation is a revision open bypass procedure to restore flow to previously underperfused myocardial territories. Typical codes: 02130JW, 02130KW

Related Codes

0210-CORONARY-ARTERY-BYPASS

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

0211-CORONARY-ARTERY-BYPASS

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

0212-CORONARY-ARTERY-THREE-ARTERIES-BYPASS

ICD-10-PCS Code For Coronary Artery, Three Arteries: Procedure Code Group Overview

0216-ATRIUM-RIGHT-BYPASS

ICD-10-PCS Code For Atrium Right: Procedure Code Group Overview

0217-LEFT-ATRIUM-BYPASS

ICD-10-PCS Code For Atrium, Left: Procedure Code Group Overview

021K-VENTRICLE-RIGHT-BYPASS

ICD-10-PCS Code For Right Ventricle: Procedure Code Group Overview

021L-LEFT-VENTRICLE-BYPASS

ICD-10-PCS Code For Ventricle, Left: Procedure Code Group Overview

021P-PULMONARY-TRUNK-BYPASS

ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview

021Q-PULMONARY-ARTERY-RIGHT-BYPASS

ICD-10-PCS Code For Pulmonary Artery, Right: Procedure Code Group Overview

021R-PULMONARY-ARTERY-LEFT-BYPASS

ICD-10-PCS Code For Pulmonary Artery Left: Procedure Code Group Overview

Showing 1–10 of 13

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

74 rows

ICD-10-PCS Code	Description
0213083	Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Open Approach
0213088	Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach
0213089	Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach
021308C	Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach
021308F	Bypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach
021308W	Bypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Open Approach
0213093	Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach
0213098	Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach
0213099	Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach
021309C	Bypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach

Showing 1–10 of 74

DRG Codes

9 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
231	Coronary Bypass with PTCA with MCC
232	Coronary Bypass with PTCA without MCC
233	Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC
234	Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC
235	Coronary Bypass without Cardiac Catheterization with MCC
236	Coronary Bypass without Cardiac Catheterization without MCC

Typical Clinical Scenarios

A 68-year-old man presents with acute ST-elevation myocardial infarction involving multiple coronary territories and persistent ischemia despite medical therapy and percutaneous attempts. Coronary angiography shows critical multivessel disease with significant occlusions in four or more coronary arteries; the cardiothoracic team proceeds to urgent open surgical bypass using the left internal mammary artery grafts to achieve durable revascularization. An open approach bypass from the left internal mammary artery is performed to restore myocardial perfusion to multiple territories. Typical codes: 02130A9, 02130Z9
A 59-year-old woman with stable but disabling angina and multivessel coronary artery disease elects for surgical revascularization after heart team discussion. Preoperative imaging documents lesions in four coronary arteries; the planned operation is elective median sternotomy with sequential aorto-coronary vein grafts taken from autologous saphenous vein conduits to bypass the diseased vessels. The procedure is performed via open approach using autologous venous tissue from the patient. Typical codes: 0213093, 02130Z3
A 72-year-old patient with prior coronary bypass presents with recurrent angina and graft failure identified on angiography affecting multiple target vessels; the surgical team performs redo open bypass grafting using an aortic proximal conduit and a synthetic or nonautologous tissue substitute for new grafts to revascularize four or more coronary arteries. The operation is a revision open bypass procedure to restore flow to previously underperfused myocardial territories. Typical codes: 02130JW, 02130KW

Related Codes

0210-CORONARY-ARTERY-BYPASS

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

0211-CORONARY-ARTERY-BYPASS

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

0212-CORONARY-ARTERY-THREE-ARTERIES-BYPASS

ICD-10-PCS Code For Coronary Artery, Three Arteries: Procedure Code Group Overview

0216-ATRIUM-RIGHT-BYPASS

ICD-10-PCS Code For Atrium Right: Procedure Code Group Overview

0217-LEFT-ATRIUM-BYPASS

ICD-10-PCS Code For Atrium, Left: Procedure Code Group Overview

021K-VENTRICLE-RIGHT-BYPASS

ICD-10-PCS Code For Right Ventricle: Procedure Code Group Overview

021L-LEFT-VENTRICLE-BYPASS

ICD-10-PCS Code For Ventricle, Left: Procedure Code Group Overview

021P-PULMONARY-TRUNK-BYPASS

ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview

021Q-PULMONARY-ARTERY-RIGHT-BYPASS

ICD-10-PCS Code For Pulmonary Artery, Right: Procedure Code Group Overview

021R-PULMONARY-ARTERY-LEFT-BYPASS

ICD-10-PCS Code For Pulmonary Artery Left: Procedure Code Group Overview

Showing 1–10 of 13

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview policy alerts

Coronary Artery, Bypass Procedure Overview

Code Attributes

ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview policy alerts

Coronary Artery, Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0213?

What body system and operation does Section 0213 represent?

How does accurate coding in the 0213 group impact inpatient reimbursement?

How are tissue source and approach represented in 0213 codes?

Which DRGs are related to procedures in the 0213 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0213?

What body system and operation does Section 0213 represent?

How does accurate coding in the 0213 group impact inpatient reimbursement?

How are tissue source and approach represented in 0213 codes?

Which DRGs are related to procedures in the 0213 code group?

References