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 2026 (October 1, 2025 through September 30, 2026) and groups to 9 MS-DRGs. The root operation Bypass involves altering the route of passage of the contents of a tubular body part.
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 |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 04104JC under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 04104JC
Is 04104JC a billable code?
Yes. 04104JC 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, 2025 through September 30, 2026.
What do the characters in 04104JC mean?
04104JC 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 1.3127 to 5.2763. 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. The mapping is approximate, so confirm it fits the documentation.
