ICD-10-PCS 2027 procedure code
047446ZDilation of Splenic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach
Short description: Dilation of Splenic Art with 3 Drug-elut, Perc Endo Approach
Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 047446Z
047446Z is the ICD-10-PCS code for a dilation procedure on the splenic artery using a percutaneous endoscopic approach with intraluminal device, drug-eluting, three. In ICD-10-PCS, dilation means expanding an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to procedure on single vessel, insertion of three vascular stents, insertion of drug-eluting stent(s) of other peripheral vessel(s) and 1 more, the ICD-9-CM procedure titles it maps to (00.40, 00.47, 00.55 and 1 more).
For a different body part, codes include 047046Z (abdominal aorta), 047146Z (celiac artery), 047246Z (gastric artery), 047346Z (hepatic artery), 047546Z (superior mesenteric artery), 047646Z (right colic artery) and 24 more.
The same procedure with a different approach is coded 047406Z (open) and 047436Z (percutaneous).
With a different device, use 047444Z (intraluminal device, drug-eluting), 047445Z (intraluminal device, drug-eluting, two), 047447Z (intraluminal device, drug-eluting, four or more), 04744DZ (intraluminal device), 04744EZ (intraluminal device, two), 04744FZ (intraluminal device, three) and 2 more.
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) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular Procedures”.
It was added in FY2017, effective October 1, 2016.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- 4Lower Arteries
- 3. Operation
- 7Dilation
Expanding an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part
Includes: Percutaneous transluminal angioplasty, internal urethrotomy
- 4. Body Part
- 4Splenic Artery
Includes: Left gastroepiploic artery; Pancreatic artery; Short gastric 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
- 6Intraluminal Device, Drug-eluting, Three
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 047046ZAbdominal Aorta
- 047146ZCeliac Artery
- 047246ZGastric Artery
- 047346ZHepatic Artery
- 047546ZSuperior Mesenteric Artery
- 047646ZColic Artery, Right
- 047746ZColic Artery, Left
- 047846ZColic Artery, Middle
- 047946ZRenal Artery, Right
- 047A46ZRenal Artery, Left
- 047B46ZInferior Mesenteric Artery
- 047C46ZCommon Iliac Artery, Right
Different approach
Different device
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 Vascular Procedures
ICD-9-CM equivalent
Converter →- 00.40Procedure on single vesselapproximate, combination
- 00.47Insertion of three vascular stentsapproximate, combination
- 00.55Insertion of drug-eluting stent(s) of other peripheral vessel(s)approximate, combination
- 39.50Angioplasty of other non-coronary vessel(s)approximate, combination
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
- FY2017 (effective 10/1/2016): Added
- No changes since FY2017.
Common questions about 047446Z
Is 047446Z a valid ICD-10-PCS code for 2027?
- Yes. 047446Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 047446Z an O.R. procedure?
- Yes. 047446Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 047446Z group to?
- Depending on the principal diagnosis, 047446Z can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 047446Z?
- The CMS GEMs map 047446Z to ICD-9-CM 00.40 (Procedure on single vessel), 00.47 (Insertion of three vascular stents), 00.55 (Insertion of drug-eluting stent(s) of other peripheral vessel(s)) and 1 more.