| Section | 0 | Medical and Surgical |
| Body System | 3 | Upper Arteries |
| Operation | 1 | Bypass: Altering the route of passage of the contents of a tubular body part |
| Body Part 2 Innominate Artery 5 Axillary Artery, Right 6 Axillary Artery, Left |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 0 Upper Arm Artery, Right 1 Upper Arm Artery, Left 2 Upper Arm Artery, Bilateral 3 Lower Arm Artery, Right 4 Lower Arm Artery, Left 5 Lower Arm Artery, Bilateral 6 Upper Leg Artery, Right 7 Upper Leg Artery, Left 8 Upper Leg Artery, Bilateral 9 Lower Leg Artery, Right B Lower Leg Artery, Left C Lower Leg Artery, Bilateral D Upper Arm Vein F Lower Arm Vein J Extracranial Artery, Right K Extracranial Artery, Left |
| Body Part 3 Subclavian Artery, Right 4 Subclavian Artery, Left |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 0 Upper Arm Artery, Right 1 Upper Arm Artery, Left 2 Upper Arm Artery, Bilateral 3 Lower Arm Artery, Right 4 Lower Arm Artery, Left 5 Lower Arm Artery, Bilateral 6 Upper Leg Artery, Right 7 Upper Leg Artery, Left 8 Upper Leg Artery, Bilateral 9 Lower Leg Artery, Right B Lower Leg Artery, Left C Lower Leg Artery, Bilateral D Upper Arm Vein F Lower Arm Vein J Extracranial Artery, Right K Extracranial Artery, Left M Pulmonary Artery, Right N Pulmonary Artery, Left |
| Body Part 7 Brachial Artery, Right |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 0 Upper Arm Artery, Right 3 Lower Arm Artery, Right D Upper Arm Vein F Lower Arm Vein |
| Body Part 8 Brachial Artery, Left |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 1 Upper Arm Artery, Left 4 Lower Arm Artery, Left D Upper Arm Vein F Lower Arm Vein |
| Body Part 9 Ulnar Artery, Right B Radial Artery, Right |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 3 Lower Arm Artery, Right F Lower Arm Vein |
| Body Part A Ulnar Artery, Left C Radial Artery, Left |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 4 Lower Arm Artery, Left F Lower Arm Vein |
| Body Part G Intracranial Artery S Temporal Artery, Right T Temporal Artery, Left |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier G Intracranial Artery |
| Body Part H Common Carotid Artery, Right |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier G Intracranial Artery J Extracranial Artery, Right |
| Body Part J Common Carotid Artery, Left |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier G Intracranial Artery K Extracranial Artery, Left |
| Body Part K Internal Carotid Artery, Right M External Carotid Artery, Right |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier J Extracranial Artery, Right |
| Body Part L Internal Carotid Artery, Left N External Carotid Artery, Left |
Approach 0 Open |
Device 9 Autologous Venous Tissue A Autologous Arterial Tissue J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier K Extracranial Artery, Left |