ICD-10-PCS Codes

• 1 04R507Z (REPLACEMENT OF SUPERIOR MESENTERIC ARTERY WITH AUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 2 04R50JZ (REPLACEMENT OF SUPERIOR MESENTERIC ARTERY WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH)

• 3 04R50KZ (REPLACEMENT OF SUPERIOR MESENTERIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 4 04R547Z (REPLACEMENT OF SUPERIOR MESENTERIC ARTERY WITH AUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 5 04R54JZ (REPLACEMENT OF SUPERIOR MESENTERIC ARTERY WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 6 04R54KZ (REPLACEMENT OF SUPERIOR MESENTERIC ARTERY WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)