Skip to content
Dx

ICD-10-PCS 2027 procedure code

04U34KZSupplement Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Hepatic Art with Nonaut Sub, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 04U34KZ

04U34KZ is the ICD-10-PCS code for a supplement procedure on the hepatic artery using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to repair of blood vessel with unspecified type of patch graft, the ICD-9-CM procedure title it maps to (39.58).

For a different body part, codes include 04U04KZ (abdominal aorta), 04U14KZ (celiac artery), 04U24KZ (gastric artery), 04U44KZ (splenic artery), 04U54KZ (superior mesenteric artery), 04U64KZ (right colic artery) and 24 more.

The same procedure with a different approach is coded 04U30KZ (open) and 04U33KZ (percutaneous).

With a different device, use 04U347Z (autologous tissue substitute) and 04U34JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC), DRG 254 (Other Vascular Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Vascular Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
4Lower Arteries
3. Operation
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
3Hepatic Artery

Includes: Common hepatic artery; Gastroduodenal artery; Hepatic artery proper

5. Approach
4Percutaneous Endoscopic

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

6. Device
KNonautologous Tissue Substitute

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

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 39.58Repair of blood vessel with unspecified type of patch graftapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 04U34KZ

Is 04U34KZ a valid ICD-10-PCS code for 2027?

Yes. 04U34KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04U34KZ an O.R. procedure?

Yes. 04U34KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04U34KZ group to?

Depending on the principal diagnosis, 04U34KZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 04U34KZ?

The CMS GEMs map 04U34KZ to ICD-9-CM 39.58 (Repair of blood vessel with unspecified type of patch graft).