04PY0JZ ICD-10-PCS Code: Removal of Synthetic Substitute from Lower Artery, Open Approach
Removal of Synthetic Substitute from Low Art, Open Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System4 | Lower Arteries |
| 3 | Root OperationP | Removal Taking out or off a device from a body part |
| 4 | Body PartY | Lower Artery |
| 5 | Approach0 | Open |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04PY3JZ — Removal of Synthetic Substitute from Lower Artery, Percutaneous Approach, 04PY4JZ — Removal of Synthetic Substitute from Lower Artery, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
04PY00Z — Removal of Drainage Device from Lower Artery, Open Approach, 04PY02Z — Removal of Monitoring Device from Lower Artery, Open Approach, 04PY03Z — Removal of Infusion Device from Lower Artery, Open Approach, 04PY07Z — Removal of Autologous Tissue Substitute from Lower Artery, Open Approach, 04PY0CZ — Removal of Extraluminal Device from Lower Artery, Open Approach, 04PY0DZ — Removal of Intraluminal Device from Lower Artery, Open Approach, 04PY0KZ — Removal of Nonautologous Tissue Substitute from Lower Artery, Open Approach, 04PY0YZ — Removal of Other Device from Lower Artery, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Cardiovascular device procedures, NEC (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
04HV4DZ — Insertion of Intraluminal Device into Right Foot Artery, Percutaneous Endoscopic Approach, 04HW0DZ — Insertion of Intraluminal Device into Left Foot Artery, Open Approach, 04HW3DZ — Insertion of Intraluminal Device into Left Foot Artery, Percutaneous Approach, 04HW4DZ — Insertion of Intraluminal Device into Left Foot Artery, Percutaneous Endoscopic Approach, 04HY0DZ — Insertion of Intraluminal Device into Lower Artery, Open Approach, 04HY0YZ — Insertion of Other Device into Lower Artery, Open Approach, 04HY3DZ — Insertion of Intraluminal Device into Lower Artery, Percutaneous Approach, 04HY3YZ — Insertion of Other Device into Lower Artery, Percutaneous Approach, 04HY4DZ — Insertion of Intraluminal Device into Lower Artery, Percutaneous Endoscopic Approach, 04HY4YZ — Insertion of Other Device into Lower Artery, Percutaneous Endoscopic Approach, 04WY07Z — Revision of Autologous Tissue Substitute in Lower Artery, Open Approach, 04WY0CZ — Revision of Extraluminal Device in Lower Artery, Open Approach, 04WY0DZ — Revision of Intraluminal Device in Lower Artery, Open Approach, 04WY0JZ — Revision of Synthetic Substitute in Lower Artery, Open Approach, 04WY0KZ — Revision of Nonautologous Tissue Substitute in Lower Artery, Open Approach, 04WY0YZ — Revision of Other Device in Lower Artery, Open Approach, 04WY37Z — Revision of Autologous Tissue Substitute in Lower Artery, Percutaneous Approach, 04WY3CZ — Revision of Extraluminal Device in Lower Artery, Percutaneous Approach, 04WY3DZ — Revision of Intraluminal Device in Lower Artery, Percutaneous Approach, 04WY3JZ — Revision of Synthetic Substitute in Lower Artery, Percutaneous Approach, +565 more
Contextual Map
Every relationship of 04PY0JZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 04PY0JZ with these 5 related codes in Claim Check
PCS table
- 04P[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Arteries — Body System: Lower Arteries[Body System]: “Lower Arteries”— CMS ICD-10-PCS tables
- Removal — Operation: Removal[Operation]: “Removal”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 252 — OTHER VASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 253 — OTHER VASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH CC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 254 — OTHER VASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- CAR029 — Cardiovascular device procedures, NEC[CCSR category]: “Cardiovascular device procedures, NEC — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1844)
- MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 1839 more
Nearest codes
- 04PY00Z — Removal of Drainage Device from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04PY02Z — Removal of Monitoring Device from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04PY03Z — Removal of Infusion Device from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04PY07Z — Removal of Autologous Tissue Substitute from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04PY0CZ — Removal of Extraluminal Device from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04PY0DZ — Removal of Intraluminal Device from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04PY0KZ — Removal of Nonautologous Tissue Substitute from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04PY0YZ — Removal of Other Device from Lower Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels