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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0519 includes procedures performed to bypass occluded or compromised segments of veins in the right brachial vein of the upper veins body system. These ICD-10-PCS codes are used for inpatient documentation when a surgeon creates an alternate route of venous flow to treat obstruction, thrombosis, or other impediments to venous return in the right brachial vein. Accurate coding within the ICD-10-PCS 0519 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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Brachial Vein, Right Bypass Procedure Overview

Procedures in this group involve creating an alternate route for venous blood flow by bypassing an obstruction or occlusion in the right brachial vein within the upper veins body system. These operations reestablish or improve venous return from the affected limb and may use grafts or conduits to route blood around the blocked segment. Accurate coding ensures inpatient records reflect the specific bypass performed and supports proper case mix assignment and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
5	Body System	Upper Veins
1	Operation	Bypass
9	Body Part	Brachial Vein, Right

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

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Brachial Vein, Right Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
5	Body System	Upper Veins
1	Operation	Bypass
9	Body Part	Brachial Vein, Right

When to Use

Use a code from this group when an operative bypass is performed on the right brachial vein to treat obstruction, thrombosis, or failure of native venous flow. These codes apply when the procedure creates a new route of passage for venous contents rather than simply repairing or dilating the existing vein.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
051907Y	Bypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051909Y	Bypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05190AY	Bypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05190JY	Bypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Open Approach
05190KY	Bypass Right Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05190ZY	Bypass Right Brachial Vein to Upper Vein, Open Approach
051947Y	Bypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051949Y	Bypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05194AY	Bypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05194JY	Bypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC

Typical Clinical Scenarios

A 68-year-old patient with chronic hemodialysis access failure presents with progressive swelling and pain of the right upper extremity. Duplex ultrasound demonstrates an occlusive thrombus in the right brachial vein with inadequate inflow through the native vein and recurrent access dysfunction despite prior endovascular attempts. An open bypass using a vein graft or tissue substitute is performed to reestablish venous outflow and preserve the limb and dialysis access. Typical codes: 051907Y, 051909Y
A 54-year-old patient arrives through the emergency department with acute right arm swelling, erythema, and severe pain after recent central venous catheter placement; imaging confirms acute extensive thrombosis of the right brachial vein with impending venous gangrene. Because thrombolysis is contraindicated or failed, an urgent open bypass is carried out to restore venous drainage and prevent tissue loss. Typical codes: 05190JY, 05190ZY
A 72-year-old patient with prior right brachial vein bypass using autologous vein returns with recurrent obstruction at the anastomosis and worsening edema refractory to percutaneous interventions. During a planned inpatient revision, the surgeon replaces the failed conduit with an autologous tissue substitute or nonautologous conduit via a percutaneous endoscopic approach to reestablish durable venous flow. Typical codes: 051947Y, 05194KY

Related Codes

0510-AZYGOS-VEIN-BYPASS

ICD-10-PCS Code For Azygos Vein: Procedure Code Group Overview

0511-HEMIAZYGOS-VEIN-BYPASS

ICD-10-PCS Code For Hemiazygos Vein: Procedure Code Group Overview

0513-INNOMINATE-VEIN-RIGHT-BYPASS

ICD-10-PCS Code For Innominate Vein, Right: Procedure Code Group Overview

0514-LEFT-INNOMINATE-VEIN-BYPASS

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

0515-SUBCLAVIAN-VEIN-RIGHT-BYPASS

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

0516-LEFT-SUBCLAVIAN-VEIN-BYPASS

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

0517-AXILLARY-VEIN-RIGHT-BYPASS

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

0518-AXILLARY-VEIN-LEFT-BYPASS

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

051A-LEFT-BRACHIAL-VEIN-BYPASS

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

051B-BASILIC-VEIN-RIGHT-BYPASS

ICD-10-PCS Code For Basilic Vein Right: Procedure Code Group Overview

Showing 1–10 of 24

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

12 rows

ICD-10-PCS Code	Description
051907Y	Bypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051909Y	Bypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05190AY	Bypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05190JY	Bypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Open Approach
05190KY	Bypass Right Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05190ZY	Bypass Right Brachial Vein to Upper Vein, Open Approach
051947Y	Bypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051949Y	Bypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05194AY	Bypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05194JY	Bypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC

Typical Clinical Scenarios

A 68-year-old patient with chronic hemodialysis access failure presents with progressive swelling and pain of the right upper extremity. Duplex ultrasound demonstrates an occlusive thrombus in the right brachial vein with inadequate inflow through the native vein and recurrent access dysfunction despite prior endovascular attempts. An open bypass using a vein graft or tissue substitute is performed to reestablish venous outflow and preserve the limb and dialysis access. Typical codes: 051907Y, 051909Y
A 54-year-old patient arrives through the emergency department with acute right arm swelling, erythema, and severe pain after recent central venous catheter placement; imaging confirms acute extensive thrombosis of the right brachial vein with impending venous gangrene. Because thrombolysis is contraindicated or failed, an urgent open bypass is carried out to restore venous drainage and prevent tissue loss. Typical codes: 05190JY, 05190ZY
A 72-year-old patient with prior right brachial vein bypass using autologous vein returns with recurrent obstruction at the anastomosis and worsening edema refractory to percutaneous interventions. During a planned inpatient revision, the surgeon replaces the failed conduit with an autologous tissue substitute or nonautologous conduit via a percutaneous endoscopic approach to reestablish durable venous flow. Typical codes: 051947Y, 05194KY

Related Codes

0510-AZYGOS-VEIN-BYPASS

ICD-10-PCS Code For Azygos Vein: Procedure Code Group Overview

0511-HEMIAZYGOS-VEIN-BYPASS

ICD-10-PCS Code For Hemiazygos Vein: Procedure Code Group Overview

0513-INNOMINATE-VEIN-RIGHT-BYPASS

ICD-10-PCS Code For Innominate Vein, Right: Procedure Code Group Overview

0514-LEFT-INNOMINATE-VEIN-BYPASS

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

0515-SUBCLAVIAN-VEIN-RIGHT-BYPASS

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

0516-LEFT-SUBCLAVIAN-VEIN-BYPASS

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

0517-AXILLARY-VEIN-RIGHT-BYPASS

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

0518-AXILLARY-VEIN-LEFT-BYPASS

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

051A-LEFT-BRACHIAL-VEIN-BYPASS

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

051B-BASILIC-VEIN-RIGHT-BYPASS

ICD-10-PCS Code For Basilic Vein Right: Procedure Code Group Overview

Showing 1–10 of 24

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 Brachial Vein, Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Brachial Vein, Right: Procedure Code Group Overview policy alerts

Brachial Vein, Right Bypass Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Brachial Vein, Right: Procedure Code Group Overview policy alerts

Brachial Vein, Right Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0519 code group?

What body system and operation does the 0519 code group represent?

How do approach and tissue substitute options vary within the 0519 codes?

Why is accurate coding within the 0519 group important for inpatient care?

Which DRGs are related to procedures in the 0519 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0519 code group?

What body system and operation does the 0519 code group represent?

How do approach and tissue substitute options vary within the 0519 codes?

Why is accurate coding within the 0519 group important for inpatient care?

Which DRGs are related to procedures in the 0519 code group?

References