04R90JZ Replacement of Right Renal Artery with Synthetic Substitute, Open Approach

Coding Notes

Active
Billable, valid for HIPAA-covered transactions

PCS Table

Section
0 Medical and Surgical
Body System
4 Lower Arteries
Operation
R Replacement
Body Part Approach Device Qualifier
0 Abdominal Aorta
1 Celiac Artery
2 Gastric Artery
3 Hepatic Artery
4 Splenic Artery
5 Superior Mesenteric Artery
6 Colic Artery, Right
7 Colic Artery, Left
8 Colic Artery, Middle
9 Renal Artery, Right
A Renal Artery, Left
B Inferior Mesenteric Artery
C Common Iliac Artery, Right
D Common Iliac Artery, Left
E Internal Iliac Artery, Right
F Internal Iliac Artery, Left
H External Iliac Artery, Right
J External Iliac Artery, Left
K Femoral Artery, Right
L Femoral Artery, Left
M Popliteal Artery, Right
N Popliteal Artery, Left
P Anterior Tibial Artery, Right
Q Anterior Tibial Artery, Left
R Posterior Tibial Artery, Right
S Posterior Tibial Artery, Left
T Peroneal Artery, Right
U Peroneal Artery, Left
V Foot Artery, Right
W Foot Artery, Left
Y Lower Artery
0 Open
4 Percutaneous Endoscopic
7 Autologous Tissue Substitute
J Synthetic Substitute
K Nonautologous Tissue Substitute
Z No Qualifier

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MDC / MS-DRG Reference


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