ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0459 includes procedures performed to destroy tissue in the right renal artery. These ICD-10-PCS codes are used for inpatient documentation when therapeutic destruction of arterial tissue in the right renal artery is performed to treat vascular lesions or related conditions. Accurate coding within the ICD-10-PCS 0459 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Renal Artery, Right Destruction Procedure Overview

This procedure group includes destruction of tissue in the right renal artery, a component of the lower arterial system that supplies blood to the kidney. Procedures use energy, force, or destructive agents to eradicate all or part of the targeted arterial tissue. Accurate ICD-10-PCS coding of these destruction procedures ensures inpatient records reflect the exact operation and supports appropriate reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
5	Operation	Destruction
9	Body Part	Renal Artery, Right

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ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

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Renal Artery, Right Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
5	Operation	Destruction
9	Body Part	Renal Artery, Right

When to Use

Use a code from this group when an inpatient procedure involves intentional destruction of tissue in the right renal artery. Codes apply when the operation performed is destruction as defined in ICD-10-PCS rather than excision, occlusion, or other vascular interventions.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
04590ZZ	Destruction of Right Renal Artery, Open Approach
04593ZZ	Destruction of Right Renal Artery, Percutaneous Approach
04594ZZ	Destruction of Right Renal Artery, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC

Typical Clinical Scenarios

A 68-year-old man with refractory hypertension and progressive decline in renal function is found on angiography to have a focal atherosclerotic lesion of the right renal artery causing significant stenosis and ischemic nephropathy. After multidisciplinary discussion and failure of medical therapy, targeted endovascular ablation of the lesion is performed via a percutaneous approach using thermal energy to destroy the diseased arterial tissue and improve renal perfusion. The procedure is performed during an inpatient admission for monitoring of renal function and blood pressure control. Typical codes: 04593ZZ
A 54-year-old woman presents emergently with a ruptured pseudoaneurysm of the right renal artery after prior renal biopsy, with active bleeding and hemodynamic instability. To control hemorrhage and eradicate the damaged arterial segment, an open surgical exposure is performed and the bleeding arterial tissue is directly destroyed and debrided as part of hemorrhage control and vascular repair. The patient is managed in the inpatient setting postoperatively in the intensive care unit. Typical codes: 04590ZZ
A 61-year-old patient with a history of prior percutaneous renal artery intervention presents with recurrent stenosis due to intimal hyperplasia refractory to repeat angioplasty. During a planned inpatient procedure, a percutaneous endoscopic technique is used to directly destroy the proliferative tissue within the right renal artery lumen to restore vessel patency and reduce restenosis risk. The patient remains admitted for observation and renal function monitoring after the procedure. Typical codes: 04594ZZ

Related Codes

0450-ABDOMINAL-AORTA-DESTRUCTION

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0451-CELIAC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

0452-GASTRIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

0453-HEPATIC-ARTERY-ERADICATION-HEPATIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

0454-SPLENIC-ARTERY-PHYSICAL-ERADICATION-SPLENIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

0455-SUPERIOR-MESENTERIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

0456-COLIC-ARTERY-RIGHT-DESTRUCTION

ICD-10-PCS Code For Colic Artery, Right: Procedure Code Group Overview

0457-LEFT-COLIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Colic Artery Left: Procedure Code Group Overview

0458-COLIC-ARTERY-MIDDLE-DESTRUCTION

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

045A-LEFT-RENAL-ARTERY-DESTRUCTION

ICD-10-PCS Code For Renal Artery, Left: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
04590ZZ	Destruction of Right Renal Artery, Open Approach
04593ZZ	Destruction of Right Renal Artery, Percutaneous Approach
04594ZZ	Destruction of Right Renal Artery, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC

Typical Clinical Scenarios

A 68-year-old man with refractory hypertension and progressive decline in renal function is found on angiography to have a focal atherosclerotic lesion of the right renal artery causing significant stenosis and ischemic nephropathy. After multidisciplinary discussion and failure of medical therapy, targeted endovascular ablation of the lesion is performed via a percutaneous approach using thermal energy to destroy the diseased arterial tissue and improve renal perfusion. The procedure is performed during an inpatient admission for monitoring of renal function and blood pressure control. Typical codes: 04593ZZ
A 54-year-old woman presents emergently with a ruptured pseudoaneurysm of the right renal artery after prior renal biopsy, with active bleeding and hemodynamic instability. To control hemorrhage and eradicate the damaged arterial segment, an open surgical exposure is performed and the bleeding arterial tissue is directly destroyed and debrided as part of hemorrhage control and vascular repair. The patient is managed in the inpatient setting postoperatively in the intensive care unit. Typical codes: 04590ZZ
A 61-year-old patient with a history of prior percutaneous renal artery intervention presents with recurrent stenosis due to intimal hyperplasia refractory to repeat angioplasty. During a planned inpatient procedure, a percutaneous endoscopic technique is used to directly destroy the proliferative tissue within the right renal artery lumen to restore vessel patency and reduce restenosis risk. The patient remains admitted for observation and renal function monitoring after the procedure. Typical codes: 04594ZZ

Related Codes

0450-ABDOMINAL-AORTA-DESTRUCTION

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0451-CELIAC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

0452-GASTRIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

0453-HEPATIC-ARTERY-ERADICATION-HEPATIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

0454-SPLENIC-ARTERY-PHYSICAL-ERADICATION-SPLENIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

0455-SUPERIOR-MESENTERIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

0456-COLIC-ARTERY-RIGHT-DESTRUCTION

ICD-10-PCS Code For Colic Artery, Right: Procedure Code Group Overview

0457-LEFT-COLIC-ARTERY-DESTRUCTION

ICD-10-PCS Code For Colic Artery Left: Procedure Code Group Overview

0458-COLIC-ARTERY-MIDDLE-DESTRUCTION

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

045A-LEFT-RENAL-ARTERY-DESTRUCTION

ICD-10-PCS Code For Renal Artery, Left: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview policy alerts

Renal Artery, Right Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview policy alerts

Renal Artery, Right Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Renal Artery, Right destruction procedure group 0459?

What is the clinical purpose of procedures in ICD-10-PCS code group 0459?

Under which ICD-10-PCS section and body system are these procedures classified?

How does accurate coding within the 0459 group affect inpatient records and reimbursement?

Which DRGs may be related to procedures coded in the 0459 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Renal Artery, Right destruction procedure group 0459?

What is the clinical purpose of procedures in ICD-10-PCS code group 0459?

Under which ICD-10-PCS section and body system are these procedures classified?

How does accurate coding within the 0459 group affect inpatient records and reimbursement?

Which DRGs may be related to procedures coded in the 0459 group?

References