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ICD-10-PCS 2027 procedure code

04US37ZSupplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement L Post Tib Art with Autol Sub, Perc 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 04US37Z

04US37Z is the ICD-10-PCS code for a supplement procedure on the left posterior tibial artery using a percutaneous 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 04U037Z (abdominal aorta), 04U137Z (celiac artery), 04U237Z (gastric artery), 04U337Z (hepatic artery), 04U437Z (splenic artery), 04U537Z (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04US07Z (open) and 04US47Z (percutaneous endoscopic).

With a different device, use 04US3JZ (synthetic substitute) and 04US3KZ (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
SPosterior Tibial Artery, Left
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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

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 →
  • 39.56Repair of blood vessel with tissue patch graftapproximate

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 04US37Z

Is 04US37Z a valid ICD-10-PCS code for 2027?

Yes. 04US37Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04US37Z an O.R. procedure?

Yes. 04US37Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 04US37Z group to?

Depending on the principal diagnosis, 04US37Z 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 04US37Z?

The CMS GEMs map 04US37Z to ICD-9-CM 39.56 (Repair of blood vessel with tissue patch graft).