ICD-10-PCS 2027 procedure code
04590ZZDestruction of Right Renal 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 04590ZZ
04590ZZ is the ICD-10-PCS code for a destruction procedure on the right renal 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), 04540ZZ (splenic artery), 04550ZZ (superior mesenteric artery) and 24 more.
The same procedure with a different approach is coded 04593ZZ (percutaneous) and 04594ZZ (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), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 673 (Other Kidney and Urinary Tract Procedures with MCC), DRG 674 (Other Kidney and Urinary Tract Procedures with CC) and DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures” and “Other Kidney and Urinary Tract 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
- 9Renal Artery, Right
- 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
- 04540ZZSplenic Artery
- 04550ZZSuperior Mesenteric Artery
- 04560ZZColic Artery, Right
- 04570ZZColic Artery, Left
- 04580ZZColic Artery, Middle
- 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
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Other Kidney and Urinary Tract 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 04590ZZ
Is 04590ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04590ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04590ZZ an O.R. procedure?
- Yes. 04590ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04590ZZ group to?
- Depending on the principal diagnosis, 04590ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 673, MS-DRG 674 and MS-DRG 675.
What is the ICD-9 procedure code for 04590ZZ?
- The CMS GEMs map 04590ZZ to ICD-9-CM 38.66 (Other excision of vessels, abdominal arteries).