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ICD-10-PCS 2027 procedure code

045A4ZZDestruction of Left Renal Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Left Renal 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 045A4ZZ

045A4ZZ is the ICD-10-PCS code for a destruction procedure on the left renal artery using a percutaneous endoscopic 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 04504ZZ (abdominal aorta), 04514ZZ (celiac artery), 04524ZZ (gastric artery), 04534ZZ (hepatic artery), 04544ZZ (splenic artery), 04554ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 045A0ZZ (open) and 045A3ZZ (percutaneous).

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
ARenal Artery, Left

Includes: Inferior suprarenal artery; Renal segmental 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
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 →
  • 38.66Other excision of vessels, abdominal arteriesapproximate

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 045A4ZZ

Is 045A4ZZ a valid ICD-10-PCS code for 2027?

Yes. 045A4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 045A4ZZ an O.R. procedure?

Yes. 045A4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 045A4ZZ group to?

Depending on the principal diagnosis, 045A4ZZ 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 045A4ZZ?

The CMS GEMs map 045A4ZZ to ICD-9-CM 38.66 (Other excision of vessels, abdominal arteries).