03RP0KZReplacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach

  • Billable / Specific Code
ICD-10-PCS 03RP0KZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

03RP0KZ is a billable ICD-10-PCS procedure code for Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 6 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Vessel repair and replacement.

Code Identity

ICD-10-PCS Code
03RP0KZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach
Short Description
Replacement of R Verteb Art with Nonaut Sub, Open Approach
Parent Code

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
4BodyPartPVertebral Artery, Right
5Approach0Open
6DeviceKNonautologous Tissue Substitute
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Replacement, Artery, Vertebral, Right
Leads to this code's table

To code replacement of the right vertebral artery, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Artery, Vertebral, Right. The index leads to table 03R, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 03RP0KZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR012
Vessel repair and replacement
Clinical domain: Cardiovascular Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

38.42
Resection of vessel with replacement, other vessels of head and neck
Approximate match.

Similar Procedure Codes

Questions About 03RP0KZ

Is 03RP0KZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 03RP0KZ mean?

The code 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 P is the BodyPart (Vertebral Artery, Right); the 5th character 0 is the Approach (Open); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 03RP0KZ group to?

On an inpatient stay, Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach maps to MS-DRGs 040, 041, 042, 252, 253, 254, with relative weights from 1.6757 to 3.7168. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 03RP0KZ?

Under the General Equivalence Mappings, Replacement of Right Vertebral Artery with Nonautologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 38.42 (Resection of vessel with replacement, other vessels of head and neck). The mapping is approximate, so confirm it fits the documentation.