The section from the Virginia state line east to US 19/WV 112 opened in 1977 at a distance of . It forms a southern bypass of Bluefield and features a small concurrency with US 52; it is signed as US 460 otherwise. During the same year, the section of US 19 and US 460 that run concurrent between WV 112 and CR 19-33 at Maple Acres opened (MP 5.38 to MP 8.68). The segment between Maple Acres and the US 19 intersection southwest of Princeton opened in 1967 (MP 8.68 to 10.70). The corridor between WV 112 and the northern US 19 intersection is signed both US 19 and US 460 (MP 5.38 to 10.70).