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ICD-10-PCS 2027 procedure code

04500ZZDestruction of Abdominal Aorta, Open Approach

✓ Valid for 2027O.R. procedure

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 04500ZZ

04500ZZ is the ICD-10-PCS code for a destruction procedure on the abdominal aorta using an open approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other excision of vessels, aorta, abdominal, the ICD-9-CM procedure title it maps to (38.64).

For a different body part, codes include 04510ZZ (celiac artery), 04520ZZ (gastric artery), 04530ZZ (hepatic artery), 04540ZZ (splenic artery), 04550ZZ (superior mesenteric artery), 04560ZZ (right colic artery) and 24 more.

The same procedure with a different approach is coded 04503ZZ (percutaneous) and 04504ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC), DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC), DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC), DRG 358 (Other Digestive System O.R. Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Aortic and Heart Assist Procedures Except Pulsation Balloon”, “Other Digestive System O.R. 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
4Lower Arteries
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
0Abdominal Aorta

Includes: Inferior phrenic artery; Lumbar artery; Median sacral artery; Middle suprarenal artery; Ovarian artery; Testicular 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
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.

MDC 05 · Diseases and Disorders of the Circulatory System · Aortic and Heart Assist Procedures Except Pulsation Balloon

ICD-9-CM equivalent

Converter →
  • 38.64Other excision of vessels, aorta, abdominalapproximate

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 04500ZZ

Is 04500ZZ a valid ICD-10-PCS code for 2027?

Yes. 04500ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04500ZZ an O.R. procedure?

Yes. 04500ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04500ZZ group to?

Depending on the principal diagnosis, 04500ZZ can group to MS-DRG 268, MS-DRG 269, MS-DRG 356, MS-DRG 357, MS-DRG 358 and MS-DRG 907.

What is the ICD-9 procedure code for 04500ZZ?

The CMS GEMs map 04500ZZ to ICD-9-CM 38.64 (Other excision of vessels, aorta, abdominal).