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ICD 10 Code 04134K4

Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
“Bypass Hepatic Art to L Renal A w Nonaut Sub, Perc Endo” for short

04134K4 is a valid billable ICD-10 procedure code for Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Bypass involves:
Altering the route of passage of the contents of a tubular body part. Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Percutaneous Endoscopic approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Bypass includes:

  • Coronary artery bypass, colostomy formation

Hepatic Artery body part includes:

  • Common hepatic artery
  • Gastroduodenal artery
  • Hepatic artery proper

Nonautologous Tissue Substitute device includes:

  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • Fish skin
  • Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose)
  • MIRODERM(tm) Biologic Wound Matrix
  • Piscine skin
  • Tissue bank graft
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 05 Diseases & Disorders of the Circulatory System
    Aortic and Heart Assist Procedures
    • DRG 268 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
    • DRG 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
  • MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
    Kidney and Ureter Procedures
    • DRG 656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
    • DRG 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
    • DRG 658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
    • DRG 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
    • DRG 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
    • DRG 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 04134K4 — See Table View

1: Section 0 Medical and Surgical
2: Body System 4 Lower Arteries
3: Root Operation 1 Bypass
4: Body Part 3 Hepatic Artery
5: Approach 4 Percutaneous Endoscopic
6: Device K Nonautologous Tissue Substitute
7: Qualifier 4 Renal Artery, Left

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.