04104JCBypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
04104JC is a billable ICD-10-PCS procedure code for Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 9 MS-DRGs. The root operation Bypass involves altering the route of passage of the contents of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Peripheral arterial bypass procedures.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 4 | Lower Arteries |
| 3 | Operation | 1 | Bypass |
| 4 | BodyPart | 0 | Abdominal Aorta |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | J | Synthetic Substitute |
| 7 | Qualifier | C | Internal Iliac Arteries, Bilateral |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 04104JC
Is 04104JC a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 04104JC mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 4 is the Body System (Lower Arteries); the 3rd character 1 is the Operation (Bypass); the 4th character 0 is the BodyPart (Abdominal Aorta); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character C is the Qualifier (Internal Iliac Arteries, Bilateral).
What MS-DRG does 04104JC group to?
On an inpatient stay, Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 270, 271, 272, 579, 580, 581, 907, 908, 909, with relative weights from 1.3810 to 5.2665. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 04104JC?
Under the General Equivalence Mappings, Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 39.25 (Aorta-iliac-femoral bypass). The mapping is approximate, so confirm it fits the documentation.
