04R — ICD-10-PCS Procedure Codes

• 04R Lower Arteries, Replacement
• 04R007Z Replacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach billable
• 04R00JZ Replacement of Abdominal Aorta with Synthetic Substitute, Open Approach billable
• 04R00KZ Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach billable
• 04R047Z Replacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R04JZ Replacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R04KZ Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R107Z Replacement of Celiac Artery with Autologous Tissue Substitute, Open Approach billable
• 04R10JZ Replacement of Celiac Artery with Synthetic Substitute, Open Approach billable
• 04R10KZ Replacement of Celiac Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R147Z Replacement of Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R14JZ Replacement of Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R14KZ Replacement of Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R207Z Replacement of Gastric Artery with Autologous Tissue Substitute, Open Approach billable
• 04R20JZ Replacement of Gastric Artery with Synthetic Substitute, Open Approach billable
• 04R20KZ Replacement of Gastric Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R247Z Replacement of Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R24JZ Replacement of Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R24KZ Replacement of Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R307Z Replacement of Hepatic Artery with Autologous Tissue Substitute, Open Approach billable
• 04R30JZ Replacement of Hepatic Artery with Synthetic Substitute, Open Approach billable
• 04R30KZ Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R347Z Replacement of Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R34JZ Replacement of Hepatic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R34KZ Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R407Z Replacement of Splenic Artery with Autologous Tissue Substitute, Open Approach billable
• 04R40JZ Replacement of Splenic Artery with Synthetic Substitute, Open Approach billable
• 04R40KZ Replacement of Splenic Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R447Z Replacement of Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R44JZ Replacement of Splenic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R44KZ Replacement of Splenic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R507Z Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Open Approach billable
• 04R50JZ Replacement of Superior Mesenteric Artery with Synthetic Substitute, Open Approach billable
• 04R50KZ Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R547Z Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R54JZ Replacement of Superior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R54KZ Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R607Z Replacement of Right Colic Artery with Autologous Tissue Substitute, Open Approach billable
• 04R60JZ Replacement of Right Colic Artery with Synthetic Substitute, Open Approach billable
• 04R60KZ Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R647Z Replacement of Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R64JZ Replacement of Right Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R64KZ Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R707Z Replacement of Left Colic Artery with Autologous Tissue Substitute, Open Approach billable
• 04R70JZ Replacement of Left Colic Artery with Synthetic Substitute, Open Approach billable
• 04R70KZ Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R747Z Replacement of Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R74JZ Replacement of Left Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R74KZ Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R807Z Replacement of Middle Colic Artery with Autologous Tissue Substitute, Open Approach billable
• 04R80JZ Replacement of Middle Colic Artery with Synthetic Substitute, Open Approach billable
• 04R80KZ Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R847Z Replacement of Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R84JZ Replacement of Middle Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R84KZ Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R907Z Replacement of Right Renal Artery with Autologous Tissue Substitute, Open Approach billable
• 04R90JZ Replacement of Right Renal Artery with Synthetic Substitute, Open Approach billable
• 04R90KZ Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04R947Z Replacement of Right Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04R94JZ Replacement of Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04R94KZ Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RA07Z Replacement of Left Renal Artery with Autologous Tissue Substitute, Open Approach billable
• 04RA0JZ Replacement of Left Renal Artery with Synthetic Substitute, Open Approach billable
• 04RA0KZ Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RA47Z Replacement of Left Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RA4JZ Replacement of Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RA4KZ Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RB07Z Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Open Approach billable
• 04RB0JZ Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Open Approach billable
• 04RB0KZ Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RB47Z Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RB4JZ Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RB4KZ Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RC07Z Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach billable
• 04RC0JZ Replacement of Right Common Iliac Artery with Synthetic Substitute, Open Approach billable
• 04RC0KZ Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RC47Z Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RC4JZ Replacement of Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RC4KZ Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RD07Z Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach billable
• 04RD0JZ Replacement of Left Common Iliac Artery with Synthetic Substitute, Open Approach billable
• 04RD0KZ Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RD47Z Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RD4JZ Replacement of Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RD4KZ Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RE07Z Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach billable
• 04RE0JZ Replacement of Right Internal Iliac Artery with Synthetic Substitute, Open Approach billable
• 04RE0KZ Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RE47Z Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RE4JZ Replacement of Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RE4KZ Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RF07Z Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach billable
• 04RF0JZ Replacement of Left Internal Iliac Artery with Synthetic Substitute, Open Approach billable
• 04RF0KZ Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RF47Z Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RF4JZ Replacement of Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RF4KZ Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RH07Z Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Open Approach billable
• 04RH0JZ Replacement of Right External Iliac Artery with Synthetic Substitute, Open Approach billable
• 04RH0KZ Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RH47Z Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RH4JZ Replacement of Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RH4KZ Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RJ07Z Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Open Approach billable
• 04RJ0JZ Replacement of Left External Iliac Artery with Synthetic Substitute, Open Approach billable
• 04RJ0KZ Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RJ47Z Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RJ4JZ Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RJ4KZ Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RK07Z Replacement of Right Femoral Artery with Autologous Tissue Substitute, Open Approach billable
• 04RK0JZ Replacement of Right Femoral Artery with Synthetic Substitute, Open Approach billable
• 04RK0KZ Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RK47Z Replacement of Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RK4JZ Replacement of Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RK4KZ Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RL07Z Replacement of Left Femoral Artery with Autologous Tissue Substitute, Open Approach billable
• 04RL0JZ Replacement of Left Femoral Artery with Synthetic Substitute, Open Approach billable
• 04RL0KZ Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RL47Z Replacement of Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RL4JZ Replacement of Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RL4KZ Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RM07Z Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Open Approach billable
• 04RM0JZ Replacement of Right Popliteal Artery with Synthetic Substitute, Open Approach billable
• 04RM0KZ Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RM47Z Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RM4JZ Replacement of Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RM4KZ Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RN07Z Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Open Approach billable
• 04RN0JZ Replacement of Left Popliteal Artery with Synthetic Substitute, Open Approach billable
• 04RN0KZ Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RN47Z Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RN4JZ Replacement of Left Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RN4KZ Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RP07Z Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach billable
• 04RP0JZ Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Open Approach billable
• 04RP0KZ Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RP47Z Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RP4JZ Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RP4KZ Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RQ07Z Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach billable
• 04RQ0JZ Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Open Approach billable
• 04RQ0KZ Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RQ47Z Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RQ4JZ Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RQ4KZ Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RR07Z Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach billable
• 04RR0JZ Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Open Approach billable
• 04RR0KZ Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RR47Z Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RR4JZ Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RR4KZ Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RS07Z Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach billable
• 04RS0JZ Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Open Approach billable
• 04RS0KZ Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RS47Z Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RS4JZ Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RS4KZ Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RT07Z Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Open Approach billable
• 04RT0JZ Replacement of Right Peroneal Artery with Synthetic Substitute, Open Approach billable
• 04RT0KZ Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RT47Z Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RT4JZ Replacement of Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RT4KZ Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RU07Z Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Open Approach billable
• 04RU0JZ Replacement of Left Peroneal Artery with Synthetic Substitute, Open Approach billable
• 04RU0KZ Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RU47Z Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RU4JZ Replacement of Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RU4KZ Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RV07Z Replacement of Right Foot Artery with Autologous Tissue Substitute, Open Approach billable
• 04RV0JZ Replacement of Right Foot Artery with Synthetic Substitute, Open Approach billable
• 04RV0KZ Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RV47Z Replacement of Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RV4JZ Replacement of Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RV4KZ Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RW07Z Replacement of Left Foot Artery with Autologous Tissue Substitute, Open Approach billable
• 04RW0JZ Replacement of Left Foot Artery with Synthetic Substitute, Open Approach billable
• 04RW0KZ Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RW47Z Replacement of Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RW4JZ Replacement of Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RW4KZ Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RY07Z Replacement of Lower Artery with Autologous Tissue Substitute, Open Approach billable
• 04RY0JZ Replacement of Lower Artery with Synthetic Substitute, Open Approach billable
• 04RY0KZ Replacement of Lower Artery with Nonautologous Tissue Substitute, Open Approach billable
• 04RY47Z Replacement of Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach billable
• 04RY4JZ Replacement of Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach billable
• 04RY4KZ Replacement of Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach billable