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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2KH includes procedures performed to bypass vascular structures in the right femoral artery. These ICD-10-PCS codes are used for inpatient documentation when a surgical or endovascular bypass is performed to restore blood flow around an occluded or damaged segment of the right femoral artery. Accurate coding within the ICD-10-PCS X2KH group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Femoral Artery, Right Bypass Procedure Overview

Procedures in this group involve creating a new route to bypass blood flow in the cardiovascular system, specifically targeting the right femoral artery. These bypass operations reroute blood around diseased or occluded segments to restore adequate perfusion. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific bypass operation, the right femoral artery as the body part, and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
K	Operation	Bypass
H	Body Part	Femoral Artery, Right

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

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Femoral Artery, Right Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
K	Operation	Bypass
H	Body Part	Femoral Artery, Right

When to Use

Use a code from this group when an inpatient undergoes a surgical or endovascular bypass procedure to reestablish perfusion distal to an obstruction in the right femoral artery. Select the specific code that reflects the bypass technique and any device or graft used, aligned with the documented operative report.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
X2KH3D9	Bypass Right Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9
X2KH3E9	Bypass Right Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9

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

An elderly patient with chronic peripheral arterial disease presents with progressive right lower extremity rest pain and nonhealing foot ulcers after multiple failed endovascular angioplasties; hospitalization is for an inpatient revascularization to restore distal perfusion when native femoral segments are occluded and a bypass is planned using a venous conduit accessed percutaneously to reach the downstream superficial femoral artery. A percutaneous bypass through the femoral vein to the superficial femoral artery is performed to reestablish flow around the occlusion. Typical codes: X2KH3D9
A middle-aged trauma patient sustains a penetrating injury to the right femoral artery with segmental loss and acute limb ischemia, requiring urgent inpatient revascularization; surgical teams choose an endovascular-assisted bypass using a venous conduit delivered percutaneously to bypass the injured femoral segment and perfuse the popliteal arterial circulation. The procedure is done emergently to prevent limb loss by rerouting blood flow around the damaged femoral artery to the popliteal artery. Typical codes: X2KH3E9
A patient with prior femoral artery bypass presents electively for revision because of graft failure and recurrent claudication; the surgical plan is to create a new percutaneous venous-conduit bypass from the femoral vein to the superficial femoral artery to bypass the failed segment while minimizing open exposure. The inpatient admission is for the planned revision bypass to restore durable perfusion to the distal limb. Typical codes: X2KH3D9, X2KH3E9

Related Codes

X2K0-INFERIOR-VENA-CAVA-BYPASS

ICD-10-PCS Code For Inferior Vena Cava: Procedure Code Group Overview

X2KA-LEFT-ATRIUM-BYPASS

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

X2KB-RIGHT-RADIAL-ARTERY-BYPASS

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

X2KC-LEFT-RADIAL-ARTERY-BYPASS

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

X2KG-HEPATIC-VEIN-BYPASS

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

X2KJ-LEFT-FEMORAL-ARTERY-BYPASS

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

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

2 rows

ICD-10-PCS Code	Description
X2KH3D9	Bypass Right Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9
X2KH3E9	Bypass Right Femoral Artery using Conduit through Femoral Vein to Popliteal Artery, Percutaneous Approach, New Technology Group 9

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

An elderly patient with chronic peripheral arterial disease presents with progressive right lower extremity rest pain and nonhealing foot ulcers after multiple failed endovascular angioplasties; hospitalization is for an inpatient revascularization to restore distal perfusion when native femoral segments are occluded and a bypass is planned using a venous conduit accessed percutaneously to reach the downstream superficial femoral artery. A percutaneous bypass through the femoral vein to the superficial femoral artery is performed to reestablish flow around the occlusion. Typical codes: X2KH3D9
A middle-aged trauma patient sustains a penetrating injury to the right femoral artery with segmental loss and acute limb ischemia, requiring urgent inpatient revascularization; surgical teams choose an endovascular-assisted bypass using a venous conduit delivered percutaneously to bypass the injured femoral segment and perfuse the popliteal arterial circulation. The procedure is done emergently to prevent limb loss by rerouting blood flow around the damaged femoral artery to the popliteal artery. Typical codes: X2KH3E9
A patient with prior femoral artery bypass presents electively for revision because of graft failure and recurrent claudication; the surgical plan is to create a new percutaneous venous-conduit bypass from the femoral vein to the superficial femoral artery to bypass the failed segment while minimizing open exposure. The inpatient admission is for the planned revision bypass to restore durable perfusion to the distal limb. Typical codes: X2KH3D9, X2KH3E9

Related Codes

X2K0-INFERIOR-VENA-CAVA-BYPASS

ICD-10-PCS Code For Inferior Vena Cava: Procedure Code Group Overview

X2KA-LEFT-ATRIUM-BYPASS

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

X2KB-RIGHT-RADIAL-ARTERY-BYPASS

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

X2KC-LEFT-RADIAL-ARTERY-BYPASS

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

X2KG-HEPATIC-VEIN-BYPASS

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

X2KJ-LEFT-FEMORAL-ARTERY-BYPASS

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

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 Femoral Artery Right: Procedure Code Group Overview

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

Femoral Artery, Right Bypass Procedure Overview

Code Attributes

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

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

Femoral Artery, Right Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part does the ICD-10-PCS group X2KH target?

What operation and body system are represented by the X2KH group?

What are the specific ICD-10-PCS codes listed in this group?

Why is accurate coding within the X2KH group important for inpatient reimbursement?

Which related DRGs are associated with procedures in the X2KH group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part does the ICD-10-PCS group X2KH target?

What operation and body system are represented by the X2KH group?

What are the specific ICD-10-PCS codes listed in this group?

Why is accurate coding within the X2KH group important for inpatient reimbursement?

Which related DRGs are associated with procedures in the X2KH group?

References