ICD-10-PCS 2027 procedure code
03C04ZZExtirpation of Matter from Right Internal Mammary Artery, Percutaneous Endoscopic Approach
Short description: Extirpate of Matter from R Int Mamm Art, Perc Endo Approach
Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 03C04ZZ
03C04ZZ is the ICD-10-PCS code for a extirpation procedure on the right internal mammary artery using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.
In plain terms, this corresponds to procedure on single vessel, incision of vessel, other thoracic vessels and Endarterectomy, other thoracic vessels, the ICD-9-CM procedure titles it maps to (00.40, 38.05 and 38.15).
For a different body part, codes include 03C14ZZ (left internal mammary artery), 03C24ZZ (innominate artery), 03C34ZZ (right subclavian artery), 03C44ZZ (left subclavian artery), 03C54ZZ (right axillary artery), 03C64ZZ (left axillary artery) and 23 more.
The same procedure with a different approach is coded 03C00ZZ (open) and 03C03ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical categories “Major Chest Procedures”, “Other Major Cardiovascular Procedures”, “Other O.R. Procedures for Injuries” and 1 more.
It has been valid since ICD-10-PCS took effect on October 1, 2015.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- 3Upper Arteries
- 3. Operation
- CExtirpation
Taking or cutting out solid matter from a body part
The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces
Includes: Thrombectomy, choledocholithotomy
- 4. Body Part
- 0Internal Mammary Artery, Right
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 03C14ZZInternal Mammary Artery, Left
- 03C24ZZInnominate Artery
- 03C34ZZSubclavian Artery, Right
- 03C44ZZSubclavian Artery, Left
- 03C54ZZAxillary Artery, Right
- 03C64ZZAxillary Artery, Left
- 03C74ZZBrachial Artery, Right
- 03C84ZZBrachial Artery, Left
- 03C94ZZUlnar Artery, Right
- 03CA4ZZUlnar Artery, Left
- 03CB4ZZRadial Artery, Right
- 03CC4ZZRadial Artery, Left
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 04 · Diseases and Disorders of the Respiratory System · Major Chest Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Major Cardiovascular Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 00.40Procedure on single vesselapproximate, combination
- 38.05Incision of vessel, other thoracic vesselsapproximate
- 38.15Endarterectomy, other thoracic vesselsapproximate, combination
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 03C04ZZ
Is 03C04ZZ a valid ICD-10-PCS code for 2027?
- Yes. 03C04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03C04ZZ an O.R. procedure?
- Yes. 03C04ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 03C04ZZ group to?
- Depending on the principal diagnosis, 03C04ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 03C04ZZ?
- The CMS GEMs map 03C04ZZ to ICD-9-CM 00.40 (Procedure on single vessel), 38.05 (Incision of vessel, other thoracic vessels) and 38.15 (Endarterectomy, other thoracic vessels).