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ICD-10-PCS 2027 procedure code

04130K3Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Hepatic Art to R Renal A w Nonaut Sub, Open

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 04130K3

04130K3 is the ICD-10-PCS code for a bypass procedure on the hepatic artery using an open approach with nonautologous tissue substitute (qualifier: right renal 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 other intra-abdominal vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.26).

For a different body part, codes include 04100K3 (abdominal aorta), 04140K3 (splenic artery), 041C0K3 (right common iliac artery) and 041D0K3 (left common iliac artery).

The same procedure with a different approach is coded 04134K3 (percutaneous endoscopic).

With a different device, use 0413093 (autologous venous tissue), 04130A3 (autologous arterial tissue), 04130J3 (synthetic substitute) and 04130Z3 (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC), DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC), DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC), DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC) and DRG 659 (Kidney and Ureter Procedures for Non-Neoplasm with MCC), under the surgical categories “Aortic and Heart Assist Procedures Except Pulsation Balloon”, “”, “Kidney and Ureter Procedures for Non-Neoplasm” and 2 more.

It was added in FY2018, effective October 1, 2017.

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
3Hepatic Artery

Includes: Common hepatic artery; Gastroduodenal artery; Hepatic artery proper

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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
3Renal Artery, Right

Other versions of this procedure

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 · Aortic and Heart Assist Procedures Except Pulsation Balloon

ICD-9-CM equivalent

Converter →
  • 39.26Other intra-abdominal vascular shunt or bypassapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 04130K3

Is 04130K3 a valid ICD-10-PCS code for 2027?

Yes. 04130K3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04130K3 an O.R. procedure?

Yes. 04130K3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 04130K3 group to?

Depending on the principal diagnosis, 04130K3 can group to MS-DRG 268, MS-DRG 269, MS-DRG 656, MS-DRG 657, MS-DRG 658 and MS-DRG 659.

What is the ICD-9 procedure code for 04130K3?

The CMS GEMs map 04130K3 to ICD-9-CM 39.26 (Other intra-abdominal vascular shunt or bypass).