ICD-10-PCS 2027 procedure code
03LP4CZOcclusion of Right Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
Short description: Occlusion R Verteb Art w Extralum Dev, Perc Endo
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 03LP4CZ
03LP4CZ is the ICD-10-PCS code for a occlusion procedure on the right vertebral artery using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to other surgical occlusion of vessels, other vessels of head and neck, the ICD-9-CM procedure title it maps to (38.82).
For a different body part, codes include 03L04CZ (right internal mammary artery), 03L14CZ (left internal mammary artery), 03L24CZ (innominate artery), 03L34CZ (right subclavian artery), 03L44CZ (left subclavian artery), 03L54CZ (right axillary artery) and 23 more.
The same procedure with a different approach is coded 03LP0CZ (open) and 03LP3CZ (percutaneous).
With a different device, use 03LP4BZ (intraluminal device, bioactive), 03LP4DZ (intraluminal device) and 03LP4ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Vascular 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
- PVertebral 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
- CExtraluminal Device
Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 03L04CZInternal Mammary Artery, Right
- 03L14CZInternal Mammary Artery, Left
- 03L24CZInnominate Artery
- 03L34CZSubclavian Artery, Right
- 03L44CZSubclavian Artery, Left
- 03L54CZAxillary Artery, Right
- 03L64CZAxillary Artery, Left
- 03L74CZBrachial Artery, Right
- 03L84CZBrachial Artery, Left
- 03L94CZUlnar Artery, Right
- 03LA4CZUlnar Artery, Left
- 03LB4CZRadial 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 · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular 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 →- 38.82Other surgical occlusion of vessels, other vessels of head and neckapproximate
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 03LP4CZ
Is 03LP4CZ a valid ICD-10-PCS code for 2027?
- Yes. 03LP4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03LP4CZ an O.R. procedure?
- Yes. 03LP4CZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 03LP4CZ group to?
- Depending on the principal diagnosis, 03LP4CZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 03LP4CZ?
- The CMS GEMs map 03LP4CZ to ICD-9-CM 38.82 (Other surgical occlusion of vessels, other vessels of head and neck).