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ICD-10-PCS 2027 procedure code

04134KRBypass Hepatic Artery to Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Hepatic Art to Low Art w Nonaut Sub, Perc Endo

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 04134KR

04134KR is the ICD-10-PCS code for a bypass procedure on the hepatic artery using a percutaneous endoscopic approach with nonautologous tissue substitute (qualifier: lower artery). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

For a different body part, codes include 04104KR (abdominal aorta), 04144KR (splenic artery), 041C4KR (right common iliac artery) and 041D4KR (left common iliac artery).

The same procedure with a different approach is coded 04130KR (open).

With a different device, use 041349R (autologous venous tissue), 04134AR (autologous arterial tissue), 04134JR (synthetic substitute) and 04134ZR (no device).

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”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2025, effective October 1, 2024.

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
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
RLower Artery

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.

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
  • FY2025 (effective 10/1/2024): Added
  • No changes since FY2025.

Common questions about 04134KR

Is 04134KR a valid ICD-10-PCS code for 2027?

Yes. 04134KR is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04134KR an O.R. procedure?

Yes. 04134KR is an O.R. procedure in MS-DRG v44.0.

What DRG does 04134KR group to?

Depending on the principal diagnosis, 04134KR can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 907, MS-DRG 908 and MS-DRG 909.