ICD-10-PCS 2027 procedure code
04540ZZDestruction of Splenic Artery, 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 04540ZZ
04540ZZ is the ICD-10-PCS code for a destruction procedure on the splenic artery 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, abdominal arteries, the ICD-9-CM procedure title it maps to (38.66).
For a different body part, codes include 04500ZZ (abdominal aorta), 04510ZZ (celiac artery), 04520ZZ (gastric artery), 04530ZZ (hepatic artery), 04550ZZ (superior mesenteric artery), 04560ZZ (right colic artery) and 24 more.
The same procedure with a different approach is coded 04543ZZ (percutaneous) and 04544ZZ (percutaneous endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical category “Other Major Cardiovascular Procedures”.
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
- 4Splenic Artery
Includes: Left gastroepiploic artery; Pancreatic artery; Short gastric 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
Different body part
- 04500ZZAbdominal Aorta
- 04510ZZCeliac Artery
- 04520ZZGastric Artery
- 04530ZZHepatic Artery
- 04550ZZSuperior Mesenteric Artery
- 04560ZZColic Artery, Right
- 04570ZZColic Artery, Left
- 04580ZZColic Artery, Middle
- 04590ZZRenal Artery, Right
- 045A0ZZRenal Artery, Left
- 045B0ZZInferior Mesenteric Artery
- 045C0ZZCommon Iliac 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 05 · Diseases and Disorders of the Circulatory System · Other Major Cardiovascular Procedures
ICD-9-CM equivalent
Converter →- 38.66Other excision of vessels, abdominal arteriesapproximate
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 04540ZZ
Is 04540ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04540ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04540ZZ an O.R. procedure?
- Yes. 04540ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04540ZZ group to?
- Depending on the principal diagnosis, 04540ZZ can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 04540ZZ?
- The CMS GEMs map 04540ZZ to ICD-9-CM 38.66 (Other excision of vessels, abdominal arteries).