04RA0KZReplacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
- Billable / Specific Code
04RA0KZ is a billable ICD-10-PCS procedure code for Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 6 MS-DRGs. The root operation Replacement involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Vessel repair and replacement.
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 | R | Replacement |
| 4 | BodyPart | A | Renal Artery, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | K | Nonautologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2026 ICD-10-PCS Alphabetic Index entries lead to this code:
To code replacement of the left renal artery, open the FY 2026 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Artery, Renal, Left. The index leads to table 04R, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 04RA0KZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 04RA0KZ
Is 04RA0KZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 04RA0KZ mean?
The code 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 R is the Operation (Replacement); the 4th character A is the BodyPart (Renal Artery, Left); the 5th character 0 is the Approach (Open); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 04RA0KZ group to?
On an inpatient stay, Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach maps to MS-DRGs 270, 271, 272, 673, 674, 675, with relative weights from 1.6414 to 5.2763. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 04RA0KZ?
Under the General Equivalence Mappings, Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 38.46 (Resection of vessel with replacement, abdominal arteries). The mapping is approximate, so confirm it fits the documentation.
