2020 ICD-10-PCS Procedure Code 04130J4

Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach

  1. ICD-10-PCS Sections
  2. Medical and Surgical
  3. Lower Arteries
  4. Bypass
  5. 04130J4
Version 2020 Billable Code

Valid for Submission

04130J4 is a billable procedure code used to specify the performance of bypass hepatic artery to left renal artery with synthetic substitute, open approach. The code is valid for the year 2020 for the submission of HIPAA-covered transactions.

The procedure code 04130J4 is in the medical and surgical section and is part of the lower arteries body system, classified under the bypass operation. The applicable bodypart is hepatic artery.

ICD-10-PCS:04130J4
Short Description:Bypass Hepatic Art to L Renal A w Synth Sub, Open
Long Description:Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach

Replacement Code

04130J4 replaces the following previously assigned ICD-10-PCS code(s):

  • 04100J4 - Bypass Abd Aorta to L Renal A with Synth Sub, Open Approach

ICD-10-PCS Details

Position Character Code Designation Label Definition
Character 1 0 Section Medical and Surgical
Character 2 4 Body System Lower Arteries
Character 3 1 Operation Bypass Coronary artery bypass, colostomy formation
Character 4 3 BodyPart Hepatic Artery Hepatic artery proper
Character 5 0 Approach Open Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Character 6 J Device Synthetic Substitute Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
Character 7 4 Qualifier Renal Artery, Left

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 04130J4 is grouped in the following groups for version MS-DRG V37.0 applicable from 10/01/2019 through 09/30/2020.

  • 268 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
  • 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
  • 656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
  • 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
  • 658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
  • 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
  • 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
  • 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
  • 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
  • 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
  • 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
  • 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
  • 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Convert 04130J4 to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. This 2020 ICD-10-PCS code is to be used for discharges occurring from October 1, 2019 through September 30, 2020.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.

Previous Code: 04130J3

Related Codes

Next Code: 04130J5