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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0318 includes procedures performed to bypass arterial blood flow in the left brachial artery. These ICD-10-PCS codes are used for inpatient documentation when an alternate conduit is created to reroute blood around an obstructed or injured segment of the left brachial artery. Accurate coding within the ICD-10-PCS 0318 group is essential for proper inpatient reimbursement, as it captures the bypass procedure performed and supports clinical documentation accuracy.

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Brachial Artery, Left Bypass Procedure Overview

This code group covers bypass procedures that alter the route of blood flow in the left brachial artery within the upper arterial system. Procedures involve creating an alternate conduit to reroute arterial blood around an obstructed or damaged segment. These operations target the upper arteries and must be documented precisely because accurate ICD-10-PCS coding affects inpatient reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
3	Body System	Upper Arteries
1	Operation	Bypass
8	Body Part	Brachial Artery, Left

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

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Brachial Artery, Left Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
3	Body System	Upper Arteries
1	Operation	Bypass
8	Body Part	Brachial Artery, Left

When to Use

Use a code from this group when a bypass is performed on the left brachial artery to restore distal perfusion around an obstructed or damaged arterial segment. These codes apply to inpatient encounters where an alternate vascular route is surgically constructed to reestablish adequate blood flow.

ICD-10-PCS Codes

31 rows

ICD-10-PCS Code	Description
0318091	Bypass Left Brachial Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach
0318094	Bypass Left Brachial Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach
031809D	Bypass Left Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach
031809F	Bypass Left Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach
031809V	Bypass Left Brachial Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach
031809W	Bypass Left Brachial Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach
03180A1	Bypass Left Brachial Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach
03180A4	Bypass Left Brachial Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach
03180AD	Bypass Left Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach
03180AF	Bypass Left Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Showing 1–10 of 31

DRG Codes

22 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
264	Other Circulatory System O.R. Procedures
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC

Showing 1–10 of 22

Typical Clinical Scenarios

A 68-year-old man with progressive left upper arm claudication and ischemic rest pain due to critical atherosclerotic occlusion of the left brachial artery. After vascular imaging confirms a focal occlusion not amenable to endovascular treatment, an open surgical bypass is planned to restore arterial inflow to the distal upper arm using a segment of the patient's own saphenous vein as the conduit. The procedure is performed electively in the inpatient setting to reestablish adequate perfusion and relieve ischemic symptoms. Typical codes: 0318091, 03180A1, 03180J1
A 54-year-old woman presents emergently after a traumatic laceration to the upper arm with ongoing hemorrhage and loss of distal pulses from left brachial artery disruption. In the operating room, the vascular team performs an urgent open bypass to reroute arterial flow around the injured segment to salvage the limb; the choice of conduit depends on available tissue and contamination. The procedure is documented as an open bypass of the left brachial artery to reestablish distal perfusion after traumatic arterial injury. Typical codes: 0318091, 03180J1, 03180Z1
A 72-year-old patient with prior left brachial artery bypass using a synthetic graft presents with graft stenosis and recurrent ischemic symptoms. During inpatient revision surgery, the surgeon performs an open bypass revision, creating a new conduit to bypass the failing graft segment and restore satisfactory arterial flow to the distal arm. The operative documentation specifies an open bypass procedure addressing the previous bypass failure. Typical codes: 03180J1, 03180K1,

Related Codes

0312-INNOMINATE-ARTERY-BYPASS

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

0313-RIGHT-SUBCLAVIAN-BYPASS

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

0314-LEFT-SUBCLAVIAN-BYPASS

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

0315-AXILLARY-ARTERY-BYPASS

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

0316-AXILLARY-ARTERY-LEFT-BYPASS

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

0317-RIGHT-BRACHIAL-ARTERY-BYPASS

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

0319-VENOUS-AUTOLOGOUS-REVISION-RIGHT-ULNAR-ARTERY-BYPASS

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

031A-LEFT-ULNAR-ARTERY-BYPASS

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

031B-RIGHT-RADIAL-ARTERY-BYPASS

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

031C-LEFT-RADIAL-ARTERY-BYPASS

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

Showing 1–10 of 19

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

31 rows

ICD-10-PCS Code	Description
0318091	Bypass Left Brachial Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach
0318094	Bypass Left Brachial Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach
031809D	Bypass Left Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach
031809F	Bypass Left Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach
031809V	Bypass Left Brachial Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach
031809W	Bypass Left Brachial Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach
03180A1	Bypass Left Brachial Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach
03180A4	Bypass Left Brachial Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach
03180AD	Bypass Left Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach
03180AF	Bypass Left Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach

Showing 1–10 of 31

DRG Codes

22 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
264	Other Circulatory System O.R. Procedures
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC

Showing 1–10 of 22

Typical Clinical Scenarios

A 68-year-old man with progressive left upper arm claudication and ischemic rest pain due to critical atherosclerotic occlusion of the left brachial artery. After vascular imaging confirms a focal occlusion not amenable to endovascular treatment, an open surgical bypass is planned to restore arterial inflow to the distal upper arm using a segment of the patient's own saphenous vein as the conduit. The procedure is performed electively in the inpatient setting to reestablish adequate perfusion and relieve ischemic symptoms. Typical codes: 0318091, 03180A1, 03180J1
A 54-year-old woman presents emergently after a traumatic laceration to the upper arm with ongoing hemorrhage and loss of distal pulses from left brachial artery disruption. In the operating room, the vascular team performs an urgent open bypass to reroute arterial flow around the injured segment to salvage the limb; the choice of conduit depends on available tissue and contamination. The procedure is documented as an open bypass of the left brachial artery to reestablish distal perfusion after traumatic arterial injury. Typical codes: 0318091, 03180J1, 03180Z1
A 72-year-old patient with prior left brachial artery bypass using a synthetic graft presents with graft stenosis and recurrent ischemic symptoms. During inpatient revision surgery, the surgeon performs an open bypass revision, creating a new conduit to bypass the failing graft segment and restore satisfactory arterial flow to the distal arm. The operative documentation specifies an open bypass procedure addressing the previous bypass failure. Typical codes: 03180J1, 03180K1,

Related Codes

0312-INNOMINATE-ARTERY-BYPASS

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

0313-RIGHT-SUBCLAVIAN-BYPASS

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

0314-LEFT-SUBCLAVIAN-BYPASS

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

0315-AXILLARY-ARTERY-BYPASS

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

0316-AXILLARY-ARTERY-LEFT-BYPASS

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

0317-RIGHT-BRACHIAL-ARTERY-BYPASS

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

0319-VENOUS-AUTOLOGOUS-REVISION-RIGHT-ULNAR-ARTERY-BYPASS

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

031A-LEFT-ULNAR-ARTERY-BYPASS

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

031B-RIGHT-RADIAL-ARTERY-BYPASS

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

031C-LEFT-RADIAL-ARTERY-BYPASS

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

Showing 1–10 of 19

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.

03180Z1

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

Sign up for ICD-10-PCS Code For Left Brachial Artery: Procedure Code Group Overview policy alerts

Brachial Artery, Left Bypass Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Left Brachial Artery: Procedure Code Group Overview policy alerts

Brachial Artery, Left Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures of the left brachial artery?

What are common code attributes for the 0318 left brachial artery bypass group?

Which specific ICD-10-PCS codes indicate autologous venous tissue used in left brachial artery bypass?

How does the code set reflect different conduit materials and approaches?

Which DRGs are commonly related to procedures in the 0318 left brachial artery bypass group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures of the left brachial artery?

What are common code attributes for the 0318 left brachial artery bypass group?

Which specific ICD-10-PCS codes indicate autologous venous tissue used in left brachial artery bypass?

How does the code set reflect different conduit materials and approaches?

Which DRGs are commonly related to procedures in the 0318 left brachial artery bypass group?

References