ICD-10-PCS 2027 procedure code
04104JRBypass Abdominal Aorta to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
Short description: Bypass Abd Aorta to Low Art w Synth Sub, Perc Endo
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 04104JR
04104JR is the ICD-10-PCS code for a bypass procedure on the abdominal aorta using a percutaneous endoscopic approach with synthetic substitute (qualifier: lower artery). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.
In plain terms, this corresponds to Aorta-iliac-femoral bypass, the ICD-9-CM procedure title it maps to (39.25).
For a different body part, codes include 04134JR (hepatic artery), 04144JR (splenic artery), 041C4JR (right common iliac artery) and 041D4JR (left common iliac artery).
The same procedure with a different approach is coded 04100JR (open).
With a different device, use 041049R (autologous venous tissue), 04104AR (autologous arterial tissue), 04104KR (nonautologous tissue substitute) and 04104ZR (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Skin, Subcutaneous Tissue and Breast 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
- 4Lower Arteries
- 3. Operation
- 1Bypass
Altering the route of passage of the contents of a tubular body part
Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device
Includes: Coronary artery bypass, colostomy formation
- 4. Body Part
- 0Abdominal Aorta
Includes: Inferior phrenic artery; Lumbar artery; Median sacral artery; Middle suprarenal artery; Ovarian artery; Testicular artery
- 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- RLower Artery
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
- 04104J0Abdominal Aorta
- 04104J1Celiac Artery
- 04104J2Mesenteric Artery
- 04104J3Renal Artery, Right
- 04104J4Renal Artery, Left
- 04104J5Renal Artery, Bilateral
- 04104J6Common Iliac Artery, Right
- 04104J7Common Iliac Artery, Left
- 04104J8Common Iliac Arteries, Bilateral
- 04104J9Internal Iliac Artery, Right
- 04104JBInternal Iliac Artery, Left
- 04104JCInternal Iliac Arteries, Bilateral
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 05 · Diseases and Disorders of the Circulatory System · Other Major Cardiovascular Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 39.25Aorta-iliac-femoral bypassapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 04104JR
Is 04104JR a valid ICD-10-PCS code for 2027?
- Yes. 04104JR is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04104JR an O.R. procedure?
- Yes. 04104JR is an O.R. procedure in MS-DRG v44.0.
What DRG does 04104JR group to?
- Depending on the principal diagnosis, 04104JR can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 579, MS-DRG 580 and MS-DRG 581.
What is the ICD-9 procedure code for 04104JR?
- The CMS GEMs map 04104JR to ICD-9-CM 39.25 (Aorta-iliac-femoral bypass).