04B90ZXExcision of Right Renal Artery, Open Approach, Diagnostic

  • Billable / Specific Code
ICD-10-PCS 04B90ZX
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04B90ZX is a billable ICD-10-PCS procedure code for Excision of Right Renal Artery, Open Approach, Diagnostic. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRGs 252, 253, 254. The root operation Excision involves cutting out or off, without replacement, a portion of a body part.

Code Identity

ICD-10-PCS Code
04B90ZX
Billable Status
Yes — Valid for Submission
Code Describes
Excision of Right Renal Artery, Open Approach, Diagnostic
Parent Code
Short Description
Excision of Right Renal Artery, Open Approach, Diagnostic

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
3OperationBExcision
4BodyPart9Renal Artery, Right
5Approach0Open
6DeviceZNo Device
7QualifierXDiagnostic

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04B90ZX under the General Equivalence Mappings.

38.21
Approximate match.

Similar Procedure Codes

Questions About 04B90ZX

Is 04B90ZX a billable code?

Yes. 04B90ZX is a complete seven-character ICD-10-PCS code, specific enough to report Excision of Right Renal Artery, Open Approach, Diagnostic on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04B90ZX mean?

04B90ZX 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 B is the Operation (Excision); the 4th character 9 is the BodyPart (Renal Artery, Right); the 5th character 0 is the Approach (Open); the 6th character Z is the Device (No Device); the 7th character X is the Qualifier (Diagnostic).

What MS-DRG does 04B90ZX group to?

On an inpatient stay, Excision of Right Renal Artery, Open Approach, Diagnostic maps to MS-DRGs 252, 253, 254, with relative weights from 1.7817 to 3.4883. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 04B90ZX?

Under the General Equivalence Mappings, Excision of Right Renal Artery, Open Approach, Diagnostic crosswalks to ICD-9-PCS 38.21. The mapping is approximate, so confirm it fits the documentation.