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ICD-10-PCS 2027 procedure code

04R34KZReplacement of Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of Hepatic 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 04R34KZ

04R34KZ is the ICD-10-PCS code for a replacement procedure on the hepatic 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, abdominal arteries, the ICD-9-CM procedure title it maps to (38.46).

For a different body part, codes include 04R04KZ (abdominal aorta), 04R14KZ (celiac artery), 04R24KZ (gastric artery), 04R44KZ (splenic artery), 04R54KZ (superior mesenteric artery), 04R64KZ (right colic artery) and 24 more.

The same procedure with a different approach is coded 04R30KZ (open).

With a different device, use 04R347Z (autologous tissue substitute) and 04R34JZ (synthetic substitute).

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

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
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
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
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 →
  • 38.46Resection of vessel with replacement, abdominal arteriesapproximate

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 04R34KZ

Is 04R34KZ a valid ICD-10-PCS code for 2027?

Yes. 04R34KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04R34KZ an O.R. procedure?

Yes. 04R34KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04R34KZ group to?

Depending on the principal diagnosis, 04R34KZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 04R34KZ?

The CMS GEMs map 04R34KZ to ICD-9-CM 38.46 (Resection of vessel with replacement, abdominal arteries).