ICD-10-PCS 2027 procedure code
03LG0ZZOcclusion of Intracranial Artery, Open 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 03LG0ZZ
03LG0ZZ is the ICD-10-PCS code for a occlusion procedure on the intracranial artery using an open approach. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to ligation of meningeal vessel and other surgical occlusion of vessels, intracranial vessels, the ICD-9-CM procedure titles it maps to (02.13 and 38.81).
For a different body part, codes include 03L00ZZ (right internal mammary artery), 03L10ZZ (left internal mammary artery), 03L20ZZ (innominate artery), 03L30ZZ (right subclavian artery), 03L40ZZ (left subclavian artery), 03L50ZZ (right axillary artery) and 23 more.
The same procedure with a different approach is coded 03LG3ZZ (percutaneous) and 03LG4ZZ (percutaneous endoscopic).
With a different device, use 03LG0BZ (intraluminal device, bioactive), 03LG0CZ (extraluminal device) and 03LG0DZ (intraluminal device).
It is an operating-room procedure in the MS-DRG logic for DRG 020 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC), DRG 021 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC), DRG 022 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC), DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC) and DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), under the surgical categories “Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage”, “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures” and 2 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
- LOcclusion
Completely closing an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice
Includes: Fallopian tube ligation, ligation of inferior vena cava
- 4. Body Part
- GIntracranial Artery
Includes: Anterior cerebral artery; Anterior choroidal artery; Anterior communicating artery; Basilar artery; Circle of Willis; Internal carotid artery, intracranial portion; Middle cerebral artery; Middle meningeal artery, intracranial portion; Ophthalmic artery; Posterior cerebral artery; Posterior communicating artery; Posterior inferior cerebellar artery (PICA); Vertebral artery, intracranial portion
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 03L00ZZInternal Mammary Artery, Right
- 03L10ZZInternal Mammary Artery, Left
- 03L20ZZInnominate Artery
- 03L30ZZSubclavian Artery, Right
- 03L40ZZSubclavian Artery, Left
- 03L50ZZAxillary Artery, Right
- 03L60ZZAxillary Artery, Left
- 03L70ZZBrachial Artery, Right
- 03L80ZZBrachial Artery, Left
- 03L90ZZUlnar Artery, Right
- 03LA0ZZUlnar Artery, Left
- 03LB0ZZRadial Artery, Right
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 01 · Diseases and Disorders of the Nervous System · Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage
MDC 01 · Diseases and Disorders of the Nervous System · Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis
MDC 01 · Diseases and Disorders of the Nervous System · Craniotomy and endovascular intracranial procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 02.13Ligation of meningeal vesselapproximate
- 38.81Other surgical occlusion of vessels, intracranial vesselsapproximate
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 03LG0ZZ
Is 03LG0ZZ a valid ICD-10-PCS code for 2027?
- Yes. 03LG0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03LG0ZZ an O.R. procedure?
- Yes. 03LG0ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 03LG0ZZ group to?
- Depending on the principal diagnosis, 03LG0ZZ can group to MS-DRG 020, MS-DRG 021, MS-DRG 022, MS-DRG 023, MS-DRG 024 and MS-DRG 025.
What is the ICD-9 procedure code for 03LG0ZZ?
- The CMS GEMs map 03LG0ZZ to ICD-9-CM 02.13 (Ligation of meningeal vessel) and 38.81 (Other surgical occlusion of vessels, intracranial vessels).