04RS0KZReplacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
- Billable / Specific Code
04RS0KZ is a billable ICD-10-PCS procedure code for Replacement of Left Posterior Tibial 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 12 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
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 | S | Posterior Tibial Artery, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | K | Nonautologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 04RS0KZ under the General Equivalence Mappings.
Code History
- X2R80WA — Replace LLE Art w Bioeng Hum Acelr Vsl, Open, New Tech 10
Similar Procedure Codes
Questions About 04RS0KZ
Is 04RS0KZ a billable code?
Yes. 04RS0KZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 04RS0KZ mean?
04RS0KZ 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 S is the BodyPart (Posterior Tibial 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 04RS0KZ group to?
On an inpatient stay, Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach maps to MS-DRGs 252, 253, 254, 628, 629, 630, 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 04RS0KZ?
Under the General Equivalence Mappings, Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 38.48. The mapping is approximate, so confirm it fits the documentation.
