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ICD-10-PCS 2027 procedure code

03RF4KZReplacement of Left Hand Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of L Hand Art with Nonaut Sub, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 03RF4KZ

03RF4KZ is the ICD-10-PCS code for a replacement procedure on the left hand artery using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to resection of vessel with replacement, upper limb vessels, the ICD-9-CM procedure title it maps to (38.43).

For a different body part, codes include 03R04KZ (right internal mammary artery), 03R14KZ (left internal mammary artery), 03R24KZ (innominate artery), 03R34KZ (right subclavian artery), 03R44KZ (left subclavian artery), 03R54KZ (right axillary artery) and 23 more.

The same procedure with a different approach is coded 03RF0KZ (open).

With a different device, use 03RF47Z (autologous tissue substitute) and 03RF4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC), DRG 254 (Other Vascular Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Vascular Procedures” and “Other O.R. Procedures for Injuries”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
3Upper Arteries
3. Operation
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
FHand Artery, Left

Includes: Deep palmar arch; Princeps pollicis artery; Radialis indicis; Superficial palmar arch

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 38.43Resection of vessel with replacement, upper limb vesselsapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 03RF4KZ

Is 03RF4KZ a valid ICD-10-PCS code for 2027?

Yes. 03RF4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 03RF4KZ an O.R. procedure?

Yes. 03RF4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 03RF4KZ group to?

Depending on the principal diagnosis, 03RF4KZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 03RF4KZ?

The CMS GEMs map 03RF4KZ to ICD-9-CM 38.43 (Resection of vessel with replacement, upper limb vessels).