04R947ZICD-10-PCS Code: Replacement of Right Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Replace of R Renal Art with Autol Sub, Perc Endo 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 OperationR | Replacement Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part |
| 4 | Body Part9 | Renal Artery, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device7 | Autologous Tissue Substitute |
| 7 | QualifierZ | No Qualifier |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:
- MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272
- MDC 11 — Other Kidney and Urinary Tract Procedures: DRG 673, DRG 674, DRG 675
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
04R547Z — Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 04R647Z — Replacement of Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 04R747Z — Replacement of Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 04R847Z — Replacement of Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 04RA47Z — Replacement of Left Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 04RB47Z — Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 04RC47Z — Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 04RD47Z — Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, +22 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04R907Z — Replacement of Right Renal Artery with Autologous Tissue Substitute, Open Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
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
Contextual Map
Every relationship of 04R947Z 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.
PCS table
- 04R[PCS table]
- Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
- Lower Arteries — Body System: Lower Arteries [Body System]: “Lower Arteries”
- Replacement — Operation: Replacement [Operation]: “Replacement”
MS-DRG participation
- DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 673 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — Other Kidney and Urinary Tract Procedures (MDC 11)”
- DRG 674 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — Other Kidney and Urinary Tract Procedures (MDC 11)”
- DRG 675 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC — Other Kidney and Urinary Tract Procedures (MDC 11)”
MDC crossing · diagnoses (2565)
- 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.”
- MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract [MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — 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.”
- A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
- A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
- A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
- A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
- A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
- and 2560 more
Nearest codes
- 04R047Z — Replacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 04R147Z — Replacement of Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 04R247Z — Replacement of Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 04R347Z — Replacement of Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 04R447Z — Replacement of Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 04R547Z — Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 04R647Z — Replacement of Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 04R747Z — Replacement of Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
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.