04RC0KZReplacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach

  • Billable / Specific Code
ICD-10-PCS 04RC0KZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04RC0KZ is a billable ICD-10-PCS procedure code for Replacement of Right Common Iliac 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 9 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.

Code Identity

ICD-10-PCS Code
04RC0KZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach
Parent Code
Short Description
Replace of R Com Iliac Art with Nonaut Sub, Open Approach

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
3OperationRReplacement
4BodyPartCCommon Iliac Artery, Right
5Approach0Open
6DeviceKNonautologous Tissue Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04RC0KZ under the General Equivalence Mappings.

38.46
Approximate match.

Code History

Replaced in the FY 2026 code set by:
  • X2R70WA — Replace RLE Art w Bioeng Hum Acelr Vsl, Open, New Tech 10

Similar Procedure Codes

Questions About 04RC0KZ

Is 04RC0KZ a billable code?

Yes. 04RC0KZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04RC0KZ mean?

04RC0KZ 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 C is the BodyPart (Common Iliac Artery, Right); 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 04RC0KZ group to?

On an inpatient stay, Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach maps to MS-DRGs 270, 271, 272, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 04RC0KZ?

Under the General Equivalence Mappings, Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 38.46. The mapping is approximate, so confirm it fits the documentation.