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ICD-10-PCS 2027 procedure code

045F4ZZDestruction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of L Int Iliac Art, 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 045F4ZZ

045F4ZZ is the ICD-10-PCS code for a destruction procedure on the left internal iliac 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 045F0ZZ (open) and 045F3ZZ (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) 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
FInternal Iliac Artery, Left

Includes: Deferential artery; Hypogastric artery; Iliolumbar artery; Inferior gluteal artery; Inferior vesical artery; Internal pudendal artery; Lateral sacral artery; Middle rectal artery; Obturator artery; Prostatic artery; Superior gluteal artery; Superior vesical artery; Umbilical artery; Uterine Artery; Vaginal 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 045F4ZZ

Is 045F4ZZ a valid ICD-10-PCS code for 2027?

Yes. 045F4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 045F4ZZ an O.R. procedure?

Yes. 045F4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 045F4ZZ group to?

Depending on the principal diagnosis, 045F4ZZ can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 045F4ZZ?

The CMS GEMs map 045F4ZZ to ICD-9-CM 38.66 (Other excision of vessels, abdominal arteries).