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ICD-10-PCS 2027 procedure code

03PY07ZRemoval of Autologous Tissue Substitute from Upper Artery, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Autol Sub from Up Art, 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 03PY07Z

03PY07Z is the ICD-10-PCS code for a removal procedure on the upper artery using an open approach with autologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to incision of vessel, upper limb vessels and removal of arteriovenous shunt for renal dialysis, the ICD-9-CM procedure titles it maps to (38.03 and 39.43).

The same procedure with a different approach is coded 03PY37Z (percutaneous) and 03PY47Z (percutaneous endoscopic).

With a different device, use 03PY00Z (drainage device), 03PY02Z (monitoring device), 03PY03Z (infusion device), 03PY0CZ (extraluminal device), 03PY0DZ (intraluminal device), 03PY0JZ (synthetic substitute) and 3 more.

It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), DRG 673 (Other Kidney and Urinary Tract Procedures with MCC), DRG 674 (Other Kidney and Urinary Tract Procedures with CC), DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “Other Kidney and Urinary Tract 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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
YUpper Artery

Includes: Aortic intercostal artery; Bronchial artery; Esophageal artery; Subcostal artery

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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 38.03Incision of vessel, upper limb vesselsapproximate
  • 39.43Removal of arteriovenous shunt for renal dialysisapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 03PY07Z

Is 03PY07Z a valid ICD-10-PCS code for 2027?

Yes. 03PY07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 03PY07Z an O.R. procedure?

Yes. 03PY07Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 03PY07Z group to?

Depending on the principal diagnosis, 03PY07Z can group to MS-DRG 361, MS-DRG 362, MS-DRG 673, MS-DRG 674, MS-DRG 675 and MS-DRG 907.

What is the ICD-9 procedure code for 03PY07Z?

The CMS GEMs map 03PY07Z to ICD-9-CM 38.03 (Incision of vessel, upper limb vessels) and 39.43 (Removal of arteriovenous shunt for renal dialysis).