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ICD-10-PCS 2027 procedure code

03QL4ZZRepair Left Internal Carotid Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Repair Left Internal Carotid Artery, 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 03QL4ZZ

03QL4ZZ is the ICD-10-PCS code for a repair procedure on the left internal carotid artery using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to suture of artery, the ICD-9-CM procedure title it maps to (39.31).

For a different body part, codes include 03Q04ZZ (right internal mammary artery), 03Q14ZZ (left internal mammary artery), 03Q24ZZ (innominate artery), 03Q34ZZ (right subclavian artery), 03Q44ZZ (left subclavian artery), 03Q54ZZ (right axillary artery) and 23 more.

The same procedure with a different approach is coded 03QL0ZZ (open) and 03QL3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 037 (Extracranial Procedures with MCC), DRG 038 (Extracranial Procedures with CC), DRG 039 (Extracranial Procedures without CC/MCC), DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical categories “Extracranial Procedures”, “Other Vascular 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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
LInternal Carotid Artery, Left

Includes: Caroticotympanic artery; Carotid sinus

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

MS-DRG v44.0 grouping

All DRGs →

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

ICD-9-CM equivalent

Converter →
  • 39.31Suture of arteryapproximate

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 03QL4ZZ

Is 03QL4ZZ a valid ICD-10-PCS code for 2027?

Yes. 03QL4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 03QL4ZZ an O.R. procedure?

Yes. 03QL4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 03QL4ZZ group to?

Depending on the principal diagnosis, 03QL4ZZ can group to MS-DRG 037, MS-DRG 038, MS-DRG 039, MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 03QL4ZZ?

The CMS GEMs map 03QL4ZZ to ICD-9-CM 39.31 (Suture of artery).