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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 041E includes procedures performed to bypass obstructed or diseased segments of the internal iliac artery, right in the lower arterial system. These ICD-10-PCS codes are used for inpatient documentation when a surgical bypass is performed to restore or improve blood flow to pelvic or lower extremity territories supplied by the right internal iliac artery. Accurate coding within the ICD-10-PCS 041E group is essential for proper inpatient reimbursement, as it captures the specific bypass procedure performed and determines appropriate case mix and payment.

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Internal Iliac Artery, Right Bypass Procedure Overview

Procedures in this group involve creating an alternate route for blood flow around an occluded or narrowed segment of the right internal iliac artery within the lower arterial system. The operation is a bypass of the internal iliac artery, right, and targets the lower arteries to restore adequate perfusion. Accurate ICD-10-PCS coding of these bypass procedures is important for inpatient reimbursement because it documents the specific vascular reconstruction performed and supports correct case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
1	Operation	Bypass
E	Body Part	Internal Iliac Artery, Right

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

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Internal Iliac Artery, Right Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
1	Operation	Bypass
E	Body Part	Internal Iliac Artery, Right

When to Use

Use a code from this group when a documented bypass procedure is performed on the internal iliac artery, right to reestablish adequate perfusion. Select the specific ICD-10-PCS code that matches the documented bypass route, graft material, and approach used during the inpatient encounter.

ICD-10-PCS Codes

110 rows

ICD-10-PCS Code	Description
041E099	Bypass Right Internal Iliac Artery to Right Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041E09B	Bypass Right Internal Iliac Artery to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041E09C	Bypass Right Internal Iliac Artery to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Open Approach
041E09D	Bypass Right Internal Iliac Artery to Right External Iliac Artery with Autologous Venous Tissue, Open Approach
041E09F	Bypass Right Internal Iliac Artery to Left External Iliac Artery with Autologous Venous Tissue, Open Approach
041E09G	Bypass Right Internal Iliac Artery to Bilateral External Iliac Arteries with Autologous Venous Tissue, Open Approach
041E09H	Bypass Right Internal Iliac Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041E09J	Bypass Right Internal Iliac Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041E09K	Bypass Right Internal Iliac Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041E09P	Bypass Right Internal Iliac Artery to Foot Artery with Autologous Venous Tissue, Open Approach

Showing 1–10 of 110

DRG Codes

9 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly male with known peripheral arterial disease presents urgently with acute onset of severe right buttock and thigh ischemic pain, diminished pulses, and CT angiography demonstrating a high-grade occlusion of the proximal right internal iliac artery. Because limb- and pelvic-perfusion-threatening ischemia is present, the vascular surgery team performs an open bypass from the native right internal iliac artery to the right external iliac artery using a harvested autologous vein conduit to restore flow. The procedure is performed in the inpatient setting for revascularization and tissue salvage. Typical codes: 041E09D
A middle-aged patient with chronic claudication and progressive pelvic ischemic symptoms due to bilateral atherosclerotic disease is scheduled electively for revascularization. The operative plan is an open bypass originating at the right internal iliac artery to the left internal iliac artery using a synthetic vascular graft to provide durable cross-pelvic flow and relieve symptoms. The case is performed electively with preoperative imaging and inpatient postoperative monitoring. Typical codes: 041E0JB
A patient with a prior right internal iliac artery bypass develops graft stenosis with recurrent ischemic symptoms after a previous autologous venous graft. During inpatient reoperation, the surgeon revises the bypass and replaces the failed venous conduit with a nonautologous tissue substitute from the right internal iliac artery to the right femoral artery to reestablish adequate distal perfusion. The revision is performed open due to graft failure and recurrent ischemia. Typical codes: 041E0KH

Related Codes

0410-ABDOMINAL-AORTA-BYPASS

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0414-SPLENIC-ARTERY-BYPASS

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

041C-COMMON-ILIAC-ARTERY-RIGHT-BYPASS

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

041D-COMMON-ILIAC-ARTERY-LEFT-BYPASS

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

041F-LEFT-INTERNAL-ILIAC-BYPASS

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

041H-RIGHT-EXTERNAL-ILIAC-BYPASS

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

041J-LEFT-EXTERNAL-ILIAC-BYPASS

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

041K-FEMORAL-ARTERY-RIGHT-BYPASS

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

041L-LEFT-FEMORAL-BYPASS

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

041M-POPLITEAL-ARTERY-BYPASS

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

Showing 1–10 of 18

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

110 rows

ICD-10-PCS Code	Description
041E099	Bypass Right Internal Iliac Artery to Right Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041E09B	Bypass Right Internal Iliac Artery to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041E09C	Bypass Right Internal Iliac Artery to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Open Approach
041E09D	Bypass Right Internal Iliac Artery to Right External Iliac Artery with Autologous Venous Tissue, Open Approach
041E09F	Bypass Right Internal Iliac Artery to Left External Iliac Artery with Autologous Venous Tissue, Open Approach
041E09G	Bypass Right Internal Iliac Artery to Bilateral External Iliac Arteries with Autologous Venous Tissue, Open Approach
041E09H	Bypass Right Internal Iliac Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041E09J	Bypass Right Internal Iliac Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041E09K	Bypass Right Internal Iliac Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041E09P	Bypass Right Internal Iliac Artery to Foot Artery with Autologous Venous Tissue, Open Approach

Showing 1–10 of 110

DRG Codes

9 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly male with known peripheral arterial disease presents urgently with acute onset of severe right buttock and thigh ischemic pain, diminished pulses, and CT angiography demonstrating a high-grade occlusion of the proximal right internal iliac artery. Because limb- and pelvic-perfusion-threatening ischemia is present, the vascular surgery team performs an open bypass from the native right internal iliac artery to the right external iliac artery using a harvested autologous vein conduit to restore flow. The procedure is performed in the inpatient setting for revascularization and tissue salvage. Typical codes: 041E09D
A middle-aged patient with chronic claudication and progressive pelvic ischemic symptoms due to bilateral atherosclerotic disease is scheduled electively for revascularization. The operative plan is an open bypass originating at the right internal iliac artery to the left internal iliac artery using a synthetic vascular graft to provide durable cross-pelvic flow and relieve symptoms. The case is performed electively with preoperative imaging and inpatient postoperative monitoring. Typical codes: 041E0JB
A patient with a prior right internal iliac artery bypass develops graft stenosis with recurrent ischemic symptoms after a previous autologous venous graft. During inpatient reoperation, the surgeon revises the bypass and replaces the failed venous conduit with a nonautologous tissue substitute from the right internal iliac artery to the right femoral artery to reestablish adequate distal perfusion. The revision is performed open due to graft failure and recurrent ischemia. Typical codes: 041E0KH

Related Codes

0410-ABDOMINAL-AORTA-BYPASS

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0414-SPLENIC-ARTERY-BYPASS

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

041C-COMMON-ILIAC-ARTERY-RIGHT-BYPASS

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

041D-COMMON-ILIAC-ARTERY-LEFT-BYPASS

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

041F-LEFT-INTERNAL-ILIAC-BYPASS

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

041H-RIGHT-EXTERNAL-ILIAC-BYPASS

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

041J-LEFT-EXTERNAL-ILIAC-BYPASS

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

041K-FEMORAL-ARTERY-RIGHT-BYPASS

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

041L-LEFT-FEMORAL-BYPASS

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

041M-POPLITEAL-ARTERY-BYPASS

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

Showing 1–10 of 18

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 Internal Iliac Artery, Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Internal Iliac Artery, Right: Procedure Code Group Overview policy alerts

Internal Iliac Artery, Right Bypass Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Internal Iliac Artery, Right: Procedure Code Group Overview policy alerts

Internal Iliac Artery, Right 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 for the right internal iliac artery?

How does the code set differentiate by conduit and approach?

What body system and operation attributes are assigned to these codes?

Which destination arteries are represented in the 041E code list?

How do these codes relate to DRG assignment for inpatient reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures for the right internal iliac artery?

How does the code set differentiate by conduit and approach?

What body system and operation attributes are assigned to these codes?

Which destination arteries are represented in the 041E code list?

How do these codes relate to DRG assignment for inpatient reimbursement?

References