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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2KJ includes procedures performed to bypass blood flow in the femoral artery, left. These ICD-10-PCS codes are used for inpatient documentation when an alternate route of arterial blood flow is created to treat occlusion, stenosis, or arterial injury in the left femoral artery. Accurate coding within the ICD-10-PCS X2KJ group is essential for proper inpatient reimbursement, as it captures the bypass procedure performed and supports clinical documentation accuracy.

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Femoral Artery, Left Bypass Procedure Overview

This procedure group covers bypass operations performed on the left femoral artery within the cardiovascular system. Bypass procedures create an alternate route of blood flow around an occluded or damaged segment of the femoral artery. Accurate ICD-10-PCS coding of these new technology cardiovascular bypass procedures is important for proper inpatient documentation, reimbursement, and case mix assignment.

Code Attributes

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

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

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Femoral Artery, Left 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
J	Body Part	Femoral Artery, Left

When to Use

Use a code from this group when a bypass is performed on the left femoral artery to restore or improve distal perfusion due to occlusive disease, trauma, or failed prior repair. Do not use these codes for nonbypass interventions such as angioplasty or stenting, which have different ICD-10-PCS root operations.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
X2KJ3D9	Bypass Left Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9
X2KJ3E9	Bypass Left 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 critical limb ischemia from chronic atherosclerotic occlusion of the left femoral artery presents with rest pain and nonhealing distal ulcers after failed endovascular attempts; the inpatient team proceeds with a percutaneous creation of an alternate arterial conduit bypassing the occluded left femoral segment to restore distal perfusion and promote wound healing. Typical codes: X2KJ3D9, X2KJ3E9
A middle-aged trauma patient sustains a penetrating injury to the left common femoral artery with significant hemorrhage and compromised distal pulses; after initial stabilization, the vascular surgery team performs a percutaneous bypass using a conduit routed through the femoral vein to reestablish arterial flow around the injured femoral artery segment. Typical codes: X2KJ3D9, X2KJ3E9
A patient with prior left femoral artery surgical bypass presents with graft occlusion and progressive ischemic symptoms; because repeat open revision is high risk, the team performs a percutaneous new-technology bypass that routes a conduit through the femoral vein to bypass the obstructed femoral segment and revascularize either the superficial femoral or popliteal artery as clinically indicated. Typical codes: X2KJ3D9, X2KJ3E9

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

X2KH-FEMORAL-ARTERY-RIGHT-BYPASS

ICD-10-PCS Code For Femoral Artery Right: 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
X2KJ3D9	Bypass Left Femoral Artery using Conduit through Femoral Vein to Superficial Femoral Artery, Percutaneous Approach, New Technology Group 9
X2KJ3E9	Bypass Left 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 critical limb ischemia from chronic atherosclerotic occlusion of the left femoral artery presents with rest pain and nonhealing distal ulcers after failed endovascular attempts; the inpatient team proceeds with a percutaneous creation of an alternate arterial conduit bypassing the occluded left femoral segment to restore distal perfusion and promote wound healing. Typical codes: X2KJ3D9, X2KJ3E9
A middle-aged trauma patient sustains a penetrating injury to the left common femoral artery with significant hemorrhage and compromised distal pulses; after initial stabilization, the vascular surgery team performs a percutaneous bypass using a conduit routed through the femoral vein to reestablish arterial flow around the injured femoral artery segment. Typical codes: X2KJ3D9, X2KJ3E9
A patient with prior left femoral artery surgical bypass presents with graft occlusion and progressive ischemic symptoms; because repeat open revision is high risk, the team performs a percutaneous new-technology bypass that routes a conduit through the femoral vein to bypass the obstructed femoral segment and revascularize either the superficial femoral or popliteal artery as clinically indicated. Typical codes: X2KJ3D9, X2KJ3E9

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

X2KH-FEMORAL-ARTERY-RIGHT-BYPASS

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

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

Femoral Artery, Left Bypass Procedure Overview

Code Attributes

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

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

Femoral Artery, Left 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 X2KJ code group for the left femoral artery?

What is the clinical purpose of procedures classified under ICD-10-PCS X2KJ?

What are the ICD-10-PCS attributes for the Femoral Artery, Left bypass group?

How does accurate coding in the X2KJ group affect inpatient documentation and reimbursement?

Which DRGs are related to procedures in the X2KJ code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the X2KJ code group for the left femoral artery?

What is the clinical purpose of procedures classified under ICD-10-PCS X2KJ?

What are the ICD-10-PCS attributes for the Femoral Artery, Left bypass group?

How does accurate coding in the X2KJ group affect inpatient documentation and reimbursement?

Which DRGs are related to procedures in the X2KJ code group?

References