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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04U2 includes procedures performed to supplement biological or synthetic materials in the gastric artery. These ICD-10-PCS codes are used for inpatient documentation when a material is placed in or on the gastric artery to reinforce or augment its function. Accurate coding within the ICD-10-PCS 04U2 group is essential for proper inpatient reimbursement, as it captures the specific supplement procedure performed and supports clinical documentation accuracy.

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Gastric Artery Supplement Procedure Overview

Procedures in this group involve placing biological or synthetic material to reinforce or augment the function of the gastric artery within the lower arterial system. These interventions supplement the arterial wall or lumen to support perfusion or prevent complications such as aneurysm expansion or rupture. Accurate coding of these procedures in the inpatient setting ensures the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) reflects the specific supplement operation and targeted body part, which supports correct reimbursement and clinical recordkeeping.

Code Attributes

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

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

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Gastric Artery 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
2	Body Part	Gastric Artery

When to Use

Use a code from this group when a surgeon or interventionalist places material to support or augment the gastric artery rather than excise or replace arterial tissue. These codes apply in inpatient records when the clinical action fits the supplement root operation directed at the gastric artery within the lower arteries system.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04U207Z	Supplement Gastric Artery with Autologous Tissue Substitute, Open Approach
04U20JZ	Supplement Gastric Artery with Synthetic Substitute, Open Approach
04U20KZ	Supplement Gastric Artery with Nonautologous Tissue Substitute, Open Approach
04U237Z	Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Approach
04U23JZ	Supplement Gastric Artery with Synthetic Substitute, Percutaneous Approach
04U23KZ	Supplement Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04U247Z	Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04U24JZ	Supplement Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04U24KZ	Supplement Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient presents emergently with a symptomatic mycotic pseudoaneurysm of the gastric artery causing ongoing bleeding and risk of rupture. After angiographic localization, the vascular surgeon performs an open operative repair with placement of the patient’s harvested vein graft tissue to reinforce the damaged arterial wall and control hemorrhage. The supplement procedure is chosen to augment the artery and preserve perfusion to gastric branches while addressing the acute threat. Typical codes: 04U207Z
A patient with chronic gastric ischemia and progressive arterial wall degeneration is scheduled electively for reinforcement of the gastric artery to improve perfusion to the stomach. The interventional team performs a percutaneous endoscopic supplement, deploying a synthetic patch or scaffold to augment the arterial wall and reduce further arterial compromise. This planned procedure aims to restore stability of the vessel and alleviate chronic ischemic symptoms. Typical codes: 04U24JZ
A middle-aged patient returns after prior endovascular repair of a gastric artery lesion with recurrent focal weakness and partial graft failure detected on follow-up imaging. During the inpatient revision, the operator performs a percutaneous supplement using a nonautologous tissue substitute to reinforce the failed repair and augment the arterial wall without open re-exploration. The procedure addresses the complication of the initial repair while preserving arterial flow. Typical codes: 04U23KZ

Related Codes

04U0-ABDOMINAL-AORTA-SUPPLEMENT

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

04U1-CELIAC-ARTERY-SUPPLEMENT

ICD-10-PCS Code For Celiac 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

9 rows

ICD-10-PCS Code	Description
04U207Z	Supplement Gastric Artery with Autologous Tissue Substitute, Open Approach
04U20JZ	Supplement Gastric Artery with Synthetic Substitute, Open Approach
04U20KZ	Supplement Gastric Artery with Nonautologous Tissue Substitute, Open Approach
04U237Z	Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Approach
04U23JZ	Supplement Gastric Artery with Synthetic Substitute, Percutaneous Approach
04U23KZ	Supplement Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04U247Z	Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04U24JZ	Supplement Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04U24KZ	Supplement Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient presents emergently with a symptomatic mycotic pseudoaneurysm of the gastric artery causing ongoing bleeding and risk of rupture. After angiographic localization, the vascular surgeon performs an open operative repair with placement of the patient’s harvested vein graft tissue to reinforce the damaged arterial wall and control hemorrhage. The supplement procedure is chosen to augment the artery and preserve perfusion to gastric branches while addressing the acute threat. Typical codes: 04U207Z
A patient with chronic gastric ischemia and progressive arterial wall degeneration is scheduled electively for reinforcement of the gastric artery to improve perfusion to the stomach. The interventional team performs a percutaneous endoscopic supplement, deploying a synthetic patch or scaffold to augment the arterial wall and reduce further arterial compromise. This planned procedure aims to restore stability of the vessel and alleviate chronic ischemic symptoms. Typical codes: 04U24JZ
A middle-aged patient returns after prior endovascular repair of a gastric artery lesion with recurrent focal weakness and partial graft failure detected on follow-up imaging. During the inpatient revision, the operator performs a percutaneous supplement using a nonautologous tissue substitute to reinforce the failed repair and augment the arterial wall without open re-exploration. The procedure addresses the complication of the initial repair while preserving arterial flow. Typical codes: 04U23KZ

Related Codes

04U0-ABDOMINAL-AORTA-SUPPLEMENT

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

04U1-CELIAC-ARTERY-SUPPLEMENT

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

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

Gastric Artery Supplement Procedure Overview

Code Attributes

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

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

Gastric Artery Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and operation describe the gastric artery supplement procedures?

What are the approach options listed for codes in the 04U2 group?

How are material types represented in the specific ICD-10-PCS codes for gastric artery supplement?

What inpatient coding and reimbursement relevance does the 04U2 code group have?

Which related DRGs might be relevant when coding a gastric artery supplement procedure?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and operation describe the gastric artery supplement procedures?

What are the approach options listed for codes in the 04U2 group?

How are material types represented in the specific ICD-10-PCS codes for gastric artery supplement?

What inpatient coding and reimbursement relevance does the 04U2 code group have?

Which related DRGs might be relevant when coding a gastric artery supplement procedure?

References