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ICD-10-PCS 2027 procedure code

03PY4KZRemoval of Nonautologous Tissue Substitute from Upper Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub from Up 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 03PY4KZ

03PY4KZ is the ICD-10-PCS code for a removal procedure on the upper artery using a percutaneous endoscopic approach with nonautologous 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 03PY0KZ (open) and 03PY3KZ (percutaneous).

With a different device, use 03PY40Z (drainage device), 03PY42Z (monitoring device), 03PY43Z (infusion device), 03PY47Z (autologous tissue substitute), 03PY4CZ (extraluminal device), 03PY4DZ (intraluminal device) 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
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 03PY4KZ

Is 03PY4KZ a valid ICD-10-PCS code for 2027?

Yes. 03PY4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 03PY4KZ an O.R. procedure?

Yes. 03PY4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 03PY4KZ group to?

Depending on the principal diagnosis, 03PY4KZ 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 03PY4KZ?

The CMS GEMs map 03PY4KZ to ICD-9-CM 38.03 (Incision of vessel, upper limb vessels) and 39.43 (Removal of arteriovenous shunt for renal dialysis).