ICD-10-PCS 2027 procedure code
04UP07ZSupplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach
Short description: Supplement R Ant Tib Art with Autol Sub, Open 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 04UP07Z
04UP07Z is the ICD-10-PCS code for a supplement procedure on the right anterior tibial artery using an open approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.
In plain terms, this corresponds to repair of blood vessel with tissue patch graft, the ICD-9-CM procedure title it maps to (39.56).
For a different body part, codes include 04U007Z (abdominal aorta), 04U107Z (celiac artery), 04U207Z (gastric artery), 04U307Z (hepatic artery), 04U407Z (splenic artery), 04U507Z (superior mesenteric artery) and 24 more.
The same procedure with a different approach is coded 04UP37Z (percutaneous) and 04UP47Z (percutaneous endoscopic).
With a different device, use 04UP0JZ (synthetic substitute) and 04UP0KZ (nonautologous tissue 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”, “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
- USupplement
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part
Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
- 4. Body Part
- PAnterior Tibial Artery, Right
- 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
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 04U007ZAbdominal Aorta
- 04U107ZCeliac Artery
- 04U207ZGastric Artery
- 04U307ZHepatic Artery
- 04U407ZSplenic Artery
- 04U507ZSuperior Mesenteric Artery
- 04U607ZColic Artery, Right
- 04U707ZColic Artery, Left
- 04U807ZColic Artery, Middle
- 04U907ZRenal Artery, Right
- 04UA07ZRenal Artery, Left
- 04UB07ZInferior Mesenteric Artery
Different approach
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 Vascular Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 39.56Repair of blood vessel with tissue patch graftapproximate
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 04UP07Z
Is 04UP07Z a valid ICD-10-PCS code for 2027?
- Yes. 04UP07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04UP07Z an O.R. procedure?
- Yes. 04UP07Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 04UP07Z group to?
- Depending on the principal diagnosis, 04UP07Z 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 04UP07Z?
- The CMS GEMs map 04UP07Z to ICD-9-CM 39.56 (Repair of blood vessel with tissue patch graft).