2025 ICD-10-CM Procedure Code 04140JR

Bypass Splenic Artery to Lower Artery with Synthetic Substitute, Open Approach

ICD-10-PCS Code:: 04140JR
ICD-10-PCS Code for:: Bypass Splenic Art to Low Art with Synth Sub, Open Approach
Is Billable?: Yes - Valid for Submission
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04140JR is a billable procedure code used to specify the performance of bypass splenic artery to lower artery with synthetic substitute, open approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves altering the route of passage of the contents of a tubular body part. Procedure code explanation: rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. includes one or more anastomoses, with or without the use of a device coronary artery bypass, colostomy formation

Table of Contents

Code Information
PCS Table
Replacement Code
Diagnostic Related Groups Mapping
Other Similar Codes

04140JR PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the lower arteries body system, classified under bypass operation. The applicable bodypart for this procedure code is splenic artery.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	4	Lower Arteries
3	Operation	1	Bypass	Involves: Altering the route of passage of the contents of a tubular body part Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device Includes: Coronary artery bypass, colostomy formation
4	BodyPart	4	Splenic Artery	Includes: Left gastroepiploic artery Pancreatic artery Short gastric artery
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device	J	Synthetic Substitute	Includes: AbioCor(R) Total Replacement Heart AMPLATZER(R) Muscular VSD Occluder Annuloplasty ring Bard(R) Composix(R) (E/X)(LP) mesh Bard(R) Composix(R) Kugel(R) patch Bard(R) Dulex(tm) mesh Bard(R) Ventralex(tm) hernia patch Barricaid(R) Annular Closure Device (ACD) BRYAN(R) Cervical Disc System Corvia IASD(R) Ex-PRESS(tm) mini glaucoma shunt Flexible Composite Mesh GORE(R) DUALMESH(R) Holter valve ventricular shunt IASD(R) (InterAtrial Shunt Device), Corvia InterAtrial Shunt Device IASD(R), Corvia LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System MitraClip valve repair system Nitinol framed polymer mesh Open Pivot (mechanical) valve Open Pivot Aortic Valve Graft (AVG) Partially absorbable mesh PHYSIOMESH(tm) Flexible Composite Mesh Polymethylmethacrylate (PMMA) Polypropylene mesh PRESTIGE(R) Cervical Disc PROCEED(tm) Ventral Patch Prodisc-C Prodisc-L PROLENE Polypropylene Hernia System (PHS) Rebound HRD(R) (Hernia Repair Device) SynCardia Total Artificial Heart Total artificial (replacement) heart ULTRAPRO Hernia System (UHS) ULTRAPRO Partially Absorbable Lightweight Mesh ULTRAPRO Plug V-Wave Interatrial Shunt System Ventrio(tm) Hernia Patch Zimmer(R) NexGen(R) LPS Mobile Bearing Knee Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
7	Qualifier	R	Lower Artery

New 2025 ICD-10-PCS Code

04140JR is new to ICD-10-PCS code set for the FY 2025, effective October 1, 2022.

Replacement Code

04140JR replaces the following previously assigned ICD-10-PCS code(s):

04U40JZ - Supplement Splenic Artery with Synth Sub, Open Approach
04U40JZ - Supplement Splenic Artery with Synth Sub, Open Approach
04U40JZ - Supplement Splenic Artery with Synth Sub, Open Approach
04U40JZ - Supplement Splenic Artery with Synth Sub, Open Approach
04U40JZ - Supplement Splenic Artery with Synth Sub, Open Approach
04U40JZ - Supplement Splenic Artery with Synth Sub, Open Approach

04140JR is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 04140JR is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
252	Other Vascular Procedures with MCC	05
253	Other Vascular Procedures with CC	05
254	Other Vascular Procedures without CC/MCC	05
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Other ICD-10-PCS Codes Used for Bypass Splenic Artery

Filter related codes list:

0414093 Bypass Splenic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach
0414094 Bypass Splenic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach
0414095 Bypass Splenic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach
041409R Bypass Splenic Artery to Lower Artery with Autologous Venous Tissue, Open Approach
04140A3 Bypass Splenic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach
04140A4 Bypass Splenic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach
04140A5 Bypass Splenic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach
04140AR Bypass Splenic Artery to Lower Artery with Autologous Arterial Tissue, Open Approach
04140J3 Bypass Splenic Artery to Right Renal Artery with Synthetic Substitute, Open Approach
04140J4 Bypass Splenic Artery to Left Renal Artery with Synthetic Substitute, Open Approach
04140J5 Bypass Splenic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach
04140K3 Bypass Splenic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
04140K4 Bypass Splenic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
04140K5 Bypass Splenic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach
04140KR Bypass Splenic Artery to Lower Artery with Nonautologous Tissue Substitute, Open Approach
04140Z3 Bypass Splenic Artery to Right Renal Artery, Open Approach
04140Z4 Bypass Splenic Artery to Left Renal Artery, Open Approach
04140Z5 Bypass Splenic Artery to Bilateral Renal Artery, Open Approach
04140ZR Bypass Splenic Artery to Lower Artery, Open Approach
0414493 Bypass Splenic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0414494 Bypass Splenic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0414495 Bypass Splenic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041449R Bypass Splenic Artery to Lower Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
04144A3 Bypass Splenic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04144A4 Bypass Splenic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04144A5 Bypass Splenic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04144AR Bypass Splenic Artery to Lower Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04144J3 Bypass Splenic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04144J4 Bypass Splenic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04144J5 Bypass Splenic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04144JR Bypass Splenic Artery to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04144K3 Bypass Splenic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04144K4 Bypass Splenic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04144K5 Bypass Splenic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04144KR Bypass Splenic Artery to Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04144Z3 Bypass Splenic Artery to Right Renal Artery, Percutaneous Endoscopic Approach
04144Z4 Bypass Splenic Artery to Left Renal Artery, Percutaneous Endoscopic Approach
04144Z5 Bypass Splenic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach
04144ZR Bypass Splenic Artery to Lower Artery, Percutaneous Endoscopic Approach

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. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

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.