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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 041H includes procedures performed to bypass occluded or damaged segments of the lower arterial system in the right external iliac artery. These ICD-10-PCS codes are used for inpatient documentation when a surgical bypass is performed to restore blood flow to the lower extremity due to arterial occlusive disease, trauma, or failed prior repair. Accurate coding within the ICD-10-PCS 041H group is essential for proper inpatient reimbursement, as it captures the specific bypass procedure performed and supports clinical documentation accuracy.

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External Iliac Artery, Right Bypass Procedure Overview

Procedures in this group involve creating an alternate route for blood flow by bypassing the right external iliac artery to restore perfusion to the lower arteries. These operations target the lower arterial system and typically involve grafts or conduit placement to reroute arterial blood flow around an obstruction. Accurate documentation and coding of the bypass procedure and the specific right external iliac artery body part are important for correct inpatient reimbursement and clinical recordkeeping.

Code Attributes

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

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

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External 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
H	Body Part	External Iliac Artery, Right

When to Use

Use a code from this group when a bypass operation is performed to reroute blood flow around an occluded or damaged segment of the right external iliac artery. Apply these codes for inpatient encounters where the surgical creation of an alternate arterial pathway is documented.

ICD-10-PCS Codes

110 rows

ICD-10-PCS Code	Description
041H099	Bypass Right External Iliac Artery to Right Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041H09B	Bypass Right External Iliac Artery to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041H09C	Bypass Right External Iliac Artery to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Open Approach
041H09D	Bypass Right External Iliac Artery to Right External Iliac Artery with Autologous Venous Tissue, Open Approach
041H09F	Bypass Right External Iliac Artery to Left External Iliac Artery with Autologous Venous Tissue, Open Approach
041H09G	Bypass Right External Iliac Artery to Bilateral External Iliac Arteries with Autologous Venous Tissue, Open Approach
041H09H	Bypass Right External Iliac Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041H09J	Bypass Right External Iliac Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041H09K	Bypass Right External Iliac Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041H09P	Bypass Right External 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 patient with critical limb ischemia from progressive atherosclerotic occlusion of the right external iliac artery presents with rest pain and non-healing ischemic ulcer of the right foot; after vascular imaging confirms an occlusive segment unsuitable for endovascular repair, an open arterial bypass from the right external iliac artery to the right femoral artery using autologous vein graft is performed to restore distal perfusion. Typical codes: 041H09H, 041H0AH
A middle-aged trauma patient sustains a penetrating pelvic injury with segmental loss of the right external iliac artery causing active hemorrhage and limb-threatening ischemia; in the acute inpatient operative setting the surgical team performs an open bypass from the right external iliac artery to the left external iliac artery using a synthetic graft to re-establish blood flow and control bleeding. Typical codes: 041H0JF, 041H0KD
A patient with prior femoral–ilio bypass presents with graft thrombosis and recurrent claudication despite thrombectomy attempts; during an inpatient revision surgery the surgeon creates a new open bypass from the right external iliac artery to the lower extremity artery using an autologous arterial conduit to bypass the failed segment. Typical codes: 041H0AQ, 041H0AC

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

041E-INTERNAL-ILIAC-ARTERY-BYPASS

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

041F-LEFT-INTERNAL-ILIAC-BYPASS

ICD-10-PCS Code For Internal Iliac Artery, Left: 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
041H099	Bypass Right External Iliac Artery to Right Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041H09B	Bypass Right External Iliac Artery to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041H09C	Bypass Right External Iliac Artery to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Open Approach
041H09D	Bypass Right External Iliac Artery to Right External Iliac Artery with Autologous Venous Tissue, Open Approach
041H09F	Bypass Right External Iliac Artery to Left External Iliac Artery with Autologous Venous Tissue, Open Approach
041H09G	Bypass Right External Iliac Artery to Bilateral External Iliac Arteries with Autologous Venous Tissue, Open Approach
041H09H	Bypass Right External Iliac Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041H09J	Bypass Right External Iliac Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041H09K	Bypass Right External Iliac Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041H09P	Bypass Right External 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 patient with critical limb ischemia from progressive atherosclerotic occlusion of the right external iliac artery presents with rest pain and non-healing ischemic ulcer of the right foot; after vascular imaging confirms an occlusive segment unsuitable for endovascular repair, an open arterial bypass from the right external iliac artery to the right femoral artery using autologous vein graft is performed to restore distal perfusion. Typical codes: 041H09H, 041H0AH
A middle-aged trauma patient sustains a penetrating pelvic injury with segmental loss of the right external iliac artery causing active hemorrhage and limb-threatening ischemia; in the acute inpatient operative setting the surgical team performs an open bypass from the right external iliac artery to the left external iliac artery using a synthetic graft to re-establish blood flow and control bleeding. Typical codes: 041H0JF, 041H0KD
A patient with prior femoral–ilio bypass presents with graft thrombosis and recurrent claudication despite thrombectomy attempts; during an inpatient revision surgery the surgeon creates a new open bypass from the right external iliac artery to the lower extremity artery using an autologous arterial conduit to bypass the failed segment. Typical codes: 041H0AQ, 041H0AC

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

041E-INTERNAL-ILIAC-ARTERY-BYPASS

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

041F-LEFT-INTERNAL-ILIAC-BYPASS

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

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

External Iliac Artery, Right Bypass Procedure Overview

Code Attributes

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

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

External Iliac Artery, Right Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation does ICD-10-PCS code group 041H describe?

What approaches and tissue types are represented in the listed `041H` codes?

How should accurate coding within the `041H` group be used for inpatient documentation?

Which DRG categories are associated with procedures in the `041H` code group?

What clinical indications for using an `041H` bypass procedure are noted in the overview?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation does ICD-10-PCS code group 041H describe?

What approaches and tissue types are represented in the listed `041H` codes?

How should accurate coding within the `041H` group be used for inpatient documentation?

Which DRG categories are associated with procedures in the `041H` code group?

What clinical indications for using an `041H` bypass procedure are noted in the overview?

References