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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04U0 includes procedures performed to supplement biological or synthetic material in the abdominal aorta and lower arteries. These ICD-10-PCS codes are used for inpatient documentation when biological or synthetic material is placed on or in the abdominal aorta to reinforce or augment arterial function. Accurate coding within the ICD-10-PCS 04U0 group is essential for proper inpatient reimbursement, as it captures the specific supplement procedure performed and supports clinical documentation accuracy.

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Abdominal Aorta Supplement Procedure Overview

Procedures in this group involve placing biological or synthetic material to reinforce or augment the abdominal aorta and its lower arterial branches. These operations target the lower arteries of the abdominal aorta and are coded in the Medical and Surgical section of the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding of these supplement procedures ensures inpatient records reflect the addition of supportive material and supports appropriate inpatient reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
U	Operation	Supplement
0	Body Part	Abdominal Aorta

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

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Abdominal Aorta Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
U	Operation	Supplement
0	Body Part	Abdominal Aorta

When to Use

Use a code from this group when biological or synthetic material is put in or on the abdominal aorta to augment or reinforce the vessel wall or function. These codes apply to inpatient encounters where the primary action is supplementing the abdominal aorta rather than repairing, replacing, or restricting it.

ICD-10-PCS Codes

10 rows

ICD-10-PCS Code	Description
04U007Z	Supplement Abdominal Aorta with Autologous Tissue Substitute, Open Approach
04U00JZ	Supplement Abdominal Aorta with Synthetic Substitute, Open Approach
04U00KZ	Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach
04U037Z	Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Approach
04U03JZ	Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach
04U03KZ	Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Approach
04U03LZ	Supplement Abdominal Aorta with Intraluminal Device, Endovascular Anchors, Percutaneous Approach
04U047Z	Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04U04JZ	Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
04U04KZ	Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

14 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
268	Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC
269	Aortic and Heart Assist Procedures Except Pulsation Balloon without 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC

Showing 1–10 of 14

Typical Clinical Scenarios

A 72-year-old man presents emergently with a rapidly expanding infrarenal abdominal aortic aneurysm with persistent retroperitoneal hemorrhage and hemodynamic instability. Endovascular repair is attempted to reinforce the diseased aortic segment by placing a synthetic graft or endovascular anchors to augment the vessel wall and exclude the aneurysm. A percutaneous endovascular approach is used to supplement the abdominal aorta and restore aortic integrity while minimizing physiologic stress in this high-risk emergency. Typical codes: 04U03JZ, 04U03LZ
A 64-year-old woman with a symptomatic, enlarging infrarenal abdominal aortic aneurysm is scheduled electively for augmentation of the aortic wall to prevent rupture. A planned open operative approach is chosen to place autologous tissue or a synthetic patch to reinforce the weakened aortic segment and improve wall stability. This inpatient elective procedure focuses on supplementing the abdominal aorta to reduce future risk of aneurysm expansion or rupture. Typical codes: 04U007Z, 04U00JZ
A 69-year-old patient who previously underwent endovascular aneurysm repair presents with endoleak and progressive sac enlargement on surveillance imaging. A percutaneous endoscopic or percutaneous intervention is performed to supplement the abdominal aorta by adding nonautologous tissue or an intraluminal device/anchors to seal the leak and reinforce the existing repair. The inpatient procedure targets augmentation of the aortic repair to address the complication and prevent rupture. Typical codes: 04U03KZ, 04U03LZ, 04U04KZ

Related Codes

04U1-CELIAC-ARTERY-SUPPLEMENT

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

04U2-GASTRIC-ARTERY-SUPPLEMENT

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

04U3-HEPATIC-ARTERY-SUPPLEMENT

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

04U4-SPLENIC-ARTERY-SUPPLEMENT

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

04U5-SUPERIOR-MESENTERIC-ARTERY-SUPPLEMENT

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

04U6-COLIC-ARTERY-RIGHT-SUPPLEMENT

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

04U7-LEFT-COLIC-ARTERY-SUPPLEMENT

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

04U8-MIDDLE-COLIC-ARTERY-REINFORCEMENT-COLIC-ARTERY-MIDDLE-SUPPLEMENT

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

04U9-RENAL-ARTERY-SUPPLEMENT

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

04UA-LEFT-RENAL-ARTERY-SUPPLEMENT

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

10 rows

ICD-10-PCS Code	Description
04U007Z	Supplement Abdominal Aorta with Autologous Tissue Substitute, Open Approach
04U00JZ	Supplement Abdominal Aorta with Synthetic Substitute, Open Approach
04U00KZ	Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach
04U037Z	Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Approach
04U03JZ	Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach
04U03KZ	Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Approach
04U03LZ	Supplement Abdominal Aorta with Intraluminal Device, Endovascular Anchors, Percutaneous Approach
04U047Z	Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04U04JZ	Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
04U04KZ	Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

14 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
268	Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC
269	Aortic and Heart Assist Procedures Except Pulsation Balloon without 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC

Showing 1–10 of 14

Typical Clinical Scenarios

A 72-year-old man presents emergently with a rapidly expanding infrarenal abdominal aortic aneurysm with persistent retroperitoneal hemorrhage and hemodynamic instability. Endovascular repair is attempted to reinforce the diseased aortic segment by placing a synthetic graft or endovascular anchors to augment the vessel wall and exclude the aneurysm. A percutaneous endovascular approach is used to supplement the abdominal aorta and restore aortic integrity while minimizing physiologic stress in this high-risk emergency. Typical codes: 04U03JZ, 04U03LZ
A 64-year-old woman with a symptomatic, enlarging infrarenal abdominal aortic aneurysm is scheduled electively for augmentation of the aortic wall to prevent rupture. A planned open operative approach is chosen to place autologous tissue or a synthetic patch to reinforce the weakened aortic segment and improve wall stability. This inpatient elective procedure focuses on supplementing the abdominal aorta to reduce future risk of aneurysm expansion or rupture. Typical codes: 04U007Z, 04U00JZ
A 69-year-old patient who previously underwent endovascular aneurysm repair presents with endoleak and progressive sac enlargement on surveillance imaging. A percutaneous endoscopic or percutaneous intervention is performed to supplement the abdominal aorta by adding nonautologous tissue or an intraluminal device/anchors to seal the leak and reinforce the existing repair. The inpatient procedure targets augmentation of the aortic repair to address the complication and prevent rupture. Typical codes: 04U03KZ, 04U03LZ, 04U04KZ

Related Codes

04U1-CELIAC-ARTERY-SUPPLEMENT

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

04U2-GASTRIC-ARTERY-SUPPLEMENT

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

04U3-HEPATIC-ARTERY-SUPPLEMENT

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

04U4-SPLENIC-ARTERY-SUPPLEMENT

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

04U5-SUPERIOR-MESENTERIC-ARTERY-SUPPLEMENT

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

04U6-COLIC-ARTERY-RIGHT-SUPPLEMENT

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

04U7-LEFT-COLIC-ARTERY-SUPPLEMENT

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

04U8-MIDDLE-COLIC-ARTERY-REINFORCEMENT-COLIC-ARTERY-MIDDLE-SUPPLEMENT

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

04U9-RENAL-ARTERY-SUPPLEMENT

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

04UA-LEFT-RENAL-ARTERY-SUPPLEMENT

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 Abdominal Aorta: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview policy alerts

Abdominal Aorta Supplement Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview policy alerts

Abdominal Aorta Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 04U0?

What is the primary clinical intent captured by the 04U0 group?

Which ICD-10-PCS attributes define the 04U0 group?

How do individual codes in the group differ from one another?

Which DRGs may be related to procedures coded in the 04U0 group for reimbursement purposes?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 04U0?

What is the primary clinical intent captured by the 04U0 group?

Which ICD-10-PCS attributes define the 04U0 group?

How do individual codes in the group differ from one another?

Which DRGs may be related to procedures coded in the 04U0 group for reimbursement purposes?

References