04UM4JZSupplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 04UM4JZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04UM4JZ is a billable ICD-10-PCS procedure code for Supplement Right Popliteal 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 6 MS-DRGs. The root operation Supplement involves putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

Code Identity

ICD-10-PCS Code
04UM4JZ
Billable Status
Yes — Valid for Submission
Code Describes
Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
Parent Code
Short Description
Supplement R Popl Art with Synth Sub, Perc Endo 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
3OperationUSupplement
4BodyPartMPopliteal Artery, Right
5Approach4Percutaneous Endoscopic
6DeviceJSynthetic Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04UM4JZ under the General Equivalence Mappings.

39.57
Approximate match.

Similar Procedure Codes

Questions About 04UM4JZ

Is 04UM4JZ a billable code?

Yes. 04UM4JZ is a complete seven-character ICD-10-PCS code, specific enough to report Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04UM4JZ mean?

04UM4JZ 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 U is the Operation (Supplement); the 4th character M is the BodyPart (Popliteal Artery, Right); 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 04UM4JZ group to?

On an inpatient stay, Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 252, 253, 254, 907, 908, 909, with relative weights from 1.3127 to 3.8393. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 04UM4JZ?

Under the General Equivalence Mappings, Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 39.57. The mapping is approximate, so confirm it fits the documentation.