03R04JZReplacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 03R04JZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

03R04JZ is a billable ICD-10-PCS procedure code for Replacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Replacement involves 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.

Code Identity

ICD-10-PCS Code
03R04JZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
Parent Code
Short Description
Replace of R Int Mamm Art with Synth Sub, Perc Endo Approac

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System3Upper Arteries
3OperationRReplacement
4BodyPart0Internal Mammary Artery, Right
5Approach4Percutaneous Endoscopic
6DeviceJSynthetic Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 03R04JZ under the General Equivalence Mappings.

38.45
Approximate match.

Similar Procedure Codes

Questions About 03R04JZ

Is 03R04JZ a billable code?

Yes. 03R04JZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 03R04JZ mean?

03R04JZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 3 is the Body System (Upper Arteries); the 3rd character R is the Operation (Replacement); the 4th character 0 is the BodyPart (Internal Mammary Artery, Right); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 03R04JZ group to?

On an inpatient stay, Replacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 163, 164, 165, 219, 220, 221, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6783. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 03R04JZ?

Under the General Equivalence Mappings, Replacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.45. The mapping is approximate, so confirm it fits the documentation.