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ICD-10-PCS 2027 procedure code

045P4ZZDestruction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of R Ant Tib 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 045P4ZZ

045P4ZZ is the ICD-10-PCS code for a destruction procedure on the right anterior tibial 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, lower limb arteries, the ICD-9-CM procedure title it maps to (38.68).

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 045P0ZZ (open) and 045P3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC), DRG 254 (Other Vascular Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Other Vascular Procedures”, “Other Endocrine, Nutritional and Metabolic 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
PAnterior Tibial Artery, Right
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 →
  • 38.68Other excision of vessels, lower limb 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 045P4ZZ

Is 045P4ZZ a valid ICD-10-PCS code for 2027?

Yes. 045P4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 045P4ZZ an O.R. procedure?

Yes. 045P4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 045P4ZZ group to?

Depending on the principal diagnosis, 045P4ZZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 045P4ZZ?

The CMS GEMs map 045P4ZZ to ICD-9-CM 38.68 (Other excision of vessels, lower limb arteries).