Replacement includes:

  • Total hip replacement, bone graft, free skin graft

Renal Artery, Right body part includes:

  • Inferior suprarenal artery
  • Renal segmental artery

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)
  • MIRODERM(tm) Biologic Wound Matrix
  • Tissue bank graft
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Major Cardiovascular Procedures
    • DRG 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
    • DRG 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
    • DRG 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
  • MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
    Other Kidney and Urinary Tract Procedures
    • DRG 673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
    • DRG 674 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
    • DRG 675 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

ICD-10-PCS code structure for 04R90KZSee Table View

1: Section 0 Medical and Surgical
2: Body System 4 Lower Arteries
3: Root Operation R Replacement
4: Body Part 9 Renal Artery, Right
5: Approach 0 Open
6: Device K Nonautologous Tissue Substitute
7: Qualifier Z No Qualifier

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.