ICD-10-PCS Codes

• 1 0414093 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH)

• 2 0414094 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH)

• 3 0414095 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH)

• 4 041409R (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH AUTOLOGOUS VENOUS TISSUE, OPEN APPROACH)

• 5 04140A3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH)

• 6 04140A4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH)

• 7 04140A5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH)

• 8 04140AR (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, OPEN APPROACH)

• 9 04140J3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH)

• 10 04140J4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH)

• 11 04140J5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH)

• 12 04140JR (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH)

• 13 04140K3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 14 04140K4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 15 04140K5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 16 04140KR (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 17 04140Z3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY, OPEN APPROACH)

• 18 04140Z4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY, OPEN APPROACH)

• 19 04140Z5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY, OPEN APPROACH)

• 20 04140ZR (BYPASS SPLENIC ARTERY TO LOWER ARTERY, OPEN APPROACH)

• 21 0414493 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 22 0414494 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 23 0414495 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 24 041449R (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH AUTOLOGOUS VENOUS TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 25 04144A3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 26 04144A4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 27 04144A5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 28 04144AR (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH AUTOLOGOUS ARTERIAL TISSUE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 29 04144J3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 30 04144J4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 31 04144J5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 32 04144JR (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 33 04144K3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 34 04144K4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 35 04144K5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 36 04144KR (BYPASS SPLENIC ARTERY TO LOWER ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 37 04144Z3 (BYPASS SPLENIC ARTERY TO RIGHT RENAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 38 04144Z4 (BYPASS SPLENIC ARTERY TO LEFT RENAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 39 04144Z5 (BYPASS SPLENIC ARTERY TO BILATERAL RENAL ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 40 04144ZR (BYPASS SPLENIC ARTERY TO LOWER ARTERY, PERCUTANEOUS ENDOSCOPIC APPROACH)