ICD-10-PCS Book 2025 Edition

Sections / 0 Medical and Surgical / 04 Lower Arteries / 04R Replacement
PCS Table 04R
Section0Medical and Surgical
Body System4Lower Arteries
OperationRReplacement
Body PartApproachDeviceQualifier
0Abdominal Aorta
1Celiac Artery
2Gastric Artery
3Hepatic Artery
4Splenic Artery
5Superior Mesenteric Artery
6Colic Artery, Right
7Colic Artery, Left
8Colic Artery, Middle
9Renal Artery, Right
ARenal Artery, Left
BInferior Mesenteric Artery
CCommon Iliac Artery, Right
DCommon Iliac Artery, Left
EInternal Iliac Artery, Right
FInternal Iliac Artery, Left
HExternal Iliac Artery, Right
JExternal Iliac Artery, Left
KFemoral Artery, Right
LFemoral Artery, Left
MPopliteal Artery, Right
NPopliteal Artery, Left
PAnterior Tibial Artery, Right
QAnterior Tibial Artery, Left
RPosterior Tibial Artery, Right
SPosterior Tibial Artery, Left
TPeroneal Artery, Right
UPeroneal Artery, Left
VFoot Artery, Right
WFoot Artery, Left
YLower Artery
0Open
4Percutaneous Endoscopic
7Autologous Tissue Substitute
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Qualifier

04R prefixed ICD-10-PCS codes
04R007Z Replacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach
04R00JZ Replacement of Abdominal Aorta with Synthetic Substitute, Open Approach
04R00KZ Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach
04R047Z Replacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R04JZ Replacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
04R04KZ Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R107Z Replacement of Celiac Artery with Autologous Tissue Substitute, Open Approach
04R10JZ Replacement of Celiac Artery with Synthetic Substitute, Open Approach
04R10KZ Replacement of Celiac Artery with Nonautologous Tissue Substitute, Open Approach
04R147Z Replacement of Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R14JZ Replacement of Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R14KZ Replacement of Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R207Z Replacement of Gastric Artery with Autologous Tissue Substitute, Open Approach
04R20JZ Replacement of Gastric Artery with Synthetic Substitute, Open Approach
04R20KZ Replacement of Gastric Artery with Nonautologous Tissue Substitute, Open Approach
04R247Z Replacement of Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R24JZ Replacement of Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R24KZ Replacement of Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R307Z Replacement of Hepatic Artery with Autologous Tissue Substitute, Open Approach
04R30JZ Replacement of Hepatic Artery with Synthetic Substitute, Open Approach
04R30KZ Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Open Approach
04R347Z Replacement of Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R34JZ Replacement of Hepatic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R34KZ Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R407Z Replacement of Splenic Artery with Autologous Tissue Substitute, Open Approach
04R40JZ Replacement of Splenic Artery with Synthetic Substitute, Open Approach
04R40KZ Replacement of Splenic Artery with Nonautologous Tissue Substitute, Open Approach
04R447Z Replacement of Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R44JZ Replacement of Splenic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R44KZ Replacement of Splenic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R507Z Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Open Approach
04R50JZ Replacement of Superior Mesenteric Artery with Synthetic Substitute, Open Approach
04R50KZ Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach
04R547Z Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R54JZ Replacement of Superior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R54KZ Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R607Z Replacement of Right Colic Artery with Autologous Tissue Substitute, Open Approach
04R60JZ Replacement of Right Colic Artery with Synthetic Substitute, Open Approach
04R60KZ Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Open Approach
04R647Z Replacement of Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R64JZ Replacement of Right Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R64KZ Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R707Z Replacement of Left Colic Artery with Autologous Tissue Substitute, Open Approach
04R70JZ Replacement of Left Colic Artery with Synthetic Substitute, Open Approach
04R70KZ Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Open Approach
04R747Z Replacement of Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R74JZ Replacement of Left Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R74KZ Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R807Z Replacement of Middle Colic Artery with Autologous Tissue Substitute, Open Approach
04R80JZ Replacement of Middle Colic Artery with Synthetic Substitute, Open Approach
04R80KZ Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Open Approach
04R847Z Replacement of Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R84JZ Replacement of Middle Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R84KZ Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R907Z Replacement of Right Renal Artery with Autologous Tissue Substitute, Open Approach
04R90JZ Replacement of Right Renal Artery with Synthetic Substitute, Open Approach
04R90KZ Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
04R947Z Replacement of Right Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R94JZ Replacement of Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R94KZ Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RA07Z Replacement of Left Renal Artery with Autologous Tissue Substitute, Open Approach
04RA0JZ Replacement of Left Renal Artery with Synthetic Substitute, Open Approach
04RA0KZ Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
04RA47Z Replacement of Left Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RA4JZ Replacement of Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RA4KZ Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RB07Z Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Open Approach
04RB0JZ Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Open Approach
04RB0KZ Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach
04RB47Z Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RB4JZ Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RB4KZ Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RC07Z Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach
04RC0JZ Replacement of Right Common Iliac Artery with Synthetic Substitute, Open Approach
04RC0KZ Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RC47Z Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RC4JZ Replacement of Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RC4KZ Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RD07Z Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach
04RD0JZ Replacement of Left Common Iliac Artery with Synthetic Substitute, Open Approach
04RD0KZ Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RD47Z Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RD4JZ Replacement of Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RD4KZ Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RE07Z Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach
04RE0JZ Replacement of Right Internal Iliac Artery with Synthetic Substitute, Open Approach
04RE0KZ Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RE47Z Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RE4JZ Replacement of Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RE4KZ Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RF07Z Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach
04RF0JZ Replacement of Left Internal Iliac Artery with Synthetic Substitute, Open Approach
04RF0KZ Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RF47Z Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RF4JZ Replacement of Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RF4KZ Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RH07Z Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Open Approach
04RH0JZ Replacement of Right External Iliac Artery with Synthetic Substitute, Open Approach
04RH0KZ Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RH47Z Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RH4JZ Replacement of Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RH4KZ Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RJ07Z Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Open Approach
04RJ0JZ Replacement of Left External Iliac Artery with Synthetic Substitute, Open Approach
04RJ0KZ Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RJ47Z Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RJ4JZ Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RJ4KZ Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RK07Z Replacement of Right Femoral Artery with Autologous Tissue Substitute, Open Approach
04RK0JZ Replacement of Right Femoral Artery with Synthetic Substitute, Open Approach
04RK0KZ Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach
04RK47Z Replacement of Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RK4JZ Replacement of Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RK4KZ Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RL07Z Replacement of Left Femoral Artery with Autologous Tissue Substitute, Open Approach
04RL0JZ Replacement of Left Femoral Artery with Synthetic Substitute, Open Approach
04RL0KZ Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach
04RL47Z Replacement of Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RL4JZ Replacement of Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RL4KZ Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RM07Z Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Open Approach
04RM0JZ Replacement of Right Popliteal Artery with Synthetic Substitute, Open Approach
04RM0KZ Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
04RM47Z Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RM4JZ Replacement of Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RM4KZ Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RN07Z Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Open Approach
04RN0JZ Replacement of Left Popliteal Artery with Synthetic Substitute, Open Approach
04RN0KZ Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
04RN47Z Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RN4JZ Replacement of Left Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RN4KZ Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RP07Z Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach
04RP0JZ Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Open Approach
04RP0KZ Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
04RP47Z Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RP4JZ Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RP4KZ Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RQ07Z Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach
04RQ0JZ Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Open Approach
04RQ0KZ Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
04RQ47Z Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RQ4JZ Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RQ4KZ Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RR07Z Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach
04RR0JZ Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Open Approach
04RR0KZ Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
04RR47Z Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RR4JZ Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RR4KZ Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RS07Z Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach
04RS0JZ Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Open Approach
04RS0KZ Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
04RS47Z Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RS4JZ Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RS4KZ Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RT07Z Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Open Approach
04RT0JZ Replacement of Right Peroneal Artery with Synthetic Substitute, Open Approach
04RT0KZ Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
04RT47Z Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RT4JZ Replacement of Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RT4KZ Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RU07Z Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Open Approach
04RU0JZ Replacement of Left Peroneal Artery with Synthetic Substitute, Open Approach
04RU0KZ Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
04RU47Z Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RU4JZ Replacement of Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RU4KZ Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RV07Z Replacement of Right Foot Artery with Autologous Tissue Substitute, Open Approach
04RV0JZ Replacement of Right Foot Artery with Synthetic Substitute, Open Approach
04RV0KZ Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Open Approach
04RV47Z Replacement of Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RV4JZ Replacement of Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RV4KZ Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RW07Z Replacement of Left Foot Artery with Autologous Tissue Substitute, Open Approach
04RW0JZ Replacement of Left Foot Artery with Synthetic Substitute, Open Approach
04RW0KZ Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Open Approach
04RW47Z Replacement of Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RW4JZ Replacement of Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RW4KZ Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RY07Z Replacement of Lower Artery with Autologous Tissue Substitute, Open Approach
04RY0JZ Replacement of Lower Artery with Synthetic Substitute, Open Approach
04RY0KZ Replacement of Lower Artery with Nonautologous Tissue Substitute, Open Approach
04RY47Z Replacement of Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RY4JZ Replacement of Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RY4KZ Replacement of Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach