04RJ4JZReplacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 04RJ4JZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04RJ4JZ is a billable ICD-10-PCS procedure code for Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic 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
04RJ4JZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
Parent Code
Short Description
Replace L Ext Iliac Art w Synth Sub, Perc Endo

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
4BodyPartJExternal Iliac Artery, Left
5Approach4Percutaneous Endoscopic
6DeviceJSynthetic Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04RJ4JZ under the General Equivalence Mappings.

38.46
Approximate match.

Similar Procedure Codes

Questions About 04RJ4JZ

Is 04RJ4JZ a billable code?

Yes. 04RJ4JZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04RJ4JZ mean?

04RJ4JZ 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 J is the BodyPart (External Iliac Artery, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 04RJ4JZ group to?

On an inpatient stay, Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic 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 04RJ4JZ?

Under the General Equivalence Mappings, Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.46. The mapping is approximate, so confirm it fits the documentation.