04104K8Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 04104K8
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04104K8 is a billable ICD-10-PCS procedure code for Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue 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

ICD-10-PCS Code
04104K8
Billable Status
Yes — Valid for Submission
Code Describes
Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Parent Code
Short Description
Bypass Abd Aorta to B Com Ilia w Nonaut Sub, Perc Endo

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 System4Lower Arteries
3Operation1Bypass
4BodyPart0Abdominal Aorta
5Approach4Percutaneous Endoscopic
6DeviceKNonautologous Tissue Substitute
7Qualifier8Common Iliac Arteries, Bilateral

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04104K8 under the General Equivalence Mappings.

39.25
Approximate match.

Similar Procedure Codes

Questions About 04104K8

Is 04104K8 a billable code?

Yes. 04104K8 is a complete seven-character ICD-10-PCS code, specific enough to report Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04104K8 mean?

04104K8 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 K is the Device (Nonautologous Tissue Substitute); the 7th character 8 is the Qualifier (Common Iliac Arteries, Bilateral).

What MS-DRG does 04104K8 group to?

On an inpatient stay, Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue 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 04104K8?

Under the General Equivalence Mappings, Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 39.25. The mapping is approximate, so confirm it fits the documentation.