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ICD-10-PCS 2027 procedure code

047F4D1Dilation of Left Internal Iliac Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Dilate L Int Iliac Art w Intralum Dev, Drug Blln, Perc Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 047F4D1

047F4D1 is the ICD-10-PCS code for a dilation procedure on the left internal iliac artery using a percutaneous endoscopic approach with intraluminal device (qualifier: drug-coated balloon). 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 one vascular stent, angioplasty of other non-coronary vessel(s) and 1 more, the ICD-9-CM procedure titles it maps to (00.40, 00.45, 39.50 and 1 more).

For a different body part, codes include 04704D1 (abdominal aorta), 04714D1 (celiac artery), 04724D1 (gastric artery), 04734D1 (hepatic artery), 04744D1 (splenic artery), 04754D1 (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 047F0D1 (open) and 047F3D1 (percutaneous).

With a different device, use 047F441 (intraluminal device, drug-eluting) and 047F4Z1 (no device).

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 FY2018, effective October 1, 2017.

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
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
DIntraluminal Device

Includes: Absolute Pro Vascular (OTW) Self-Expanding Stent System; Acculink (RX) Carotid Stent System; AFX(R) Endovascular AAA System; AneuRx(R) AAA Advantage(R); Assurant (Cobalt) stent; Carotid WALLSTENT(R) Monorail(R) Endoprosthesis; CoAxia NeuroFlo catheter; Colonic Z-Stent(R); Complete (SE) stent; Cook Zenith AAA Endovascular Graft; Driver stent (RX) (OTW); E-Luminexx(tm) (Biliary)(Vascular) Stent; Embolization coil(s); Endologix AFX(R) Endovascular AAA System; Endurant(R) Endovascular Stent Graft; Endurant(R) II AAA stent graft system; EXCLUDER(R) AAA Endoprosthesis; Express(R) (LD) Premounted Stent System; Express(R) Biliary SD Monorail(R) Premounted Stent System; Express(R) SD Renal Monorail(R) Premounted Stent System; FLAIR(R) Endovascular Stent Graft; Formula(tm) Balloon-Expandable Renal Stent System; GORE EXCLUDER(R) AAA Endoprosthesis; GORE TAG(R) Thoracic Endoprosthesis; GORE(R) VIABAHN(R) Endoprosthesis; GORE(R) VIABIL(R) Biliary Endoprosthesis; Herculink (RX) Elite Renal Stent System; Innova(tm) stent; LifeStent(R) (Flexstar)(XL) Vascular Stent System; Medtronic Endurant(R) II AAA stent graft system; Micro-Driver stent (RX) (OTW); MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System; Omnilink Elite Vascular Balloon Expandable Stent System; Protege(R) RX Carotid Stent System; Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary); Talent(R) Converter; Talent(R) Occluder; Talent(R) Stent Graft (abdominal)(thoracic); Therapeutic occlusion coil(s); Ultraflex(tm) Precision Colonic Stent System; Valiant Thoracic Stent Graft; WALLSTENT(R) Endoprosthesis; Xact Carotid Stent System; Zenith AAA Endovascular Graft; Zenith Flex(R) AAA Endovascular Graft; Zenith TX2(R) TAA Endovascular Graft; Zenith(R) Renu(tm) AAA Ancillary Graft

7. Qualifier
1Drug-Coated Balloon

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 →
  • 00.40Procedure on single vesselapproximate, combination
  • 00.45Insertion of one vascular stentapproximate, combination
  • 39.50Angioplasty of other non-coronary vessel(s)approximate, combination
  • 39.90Insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s)approximate, combination

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 047F4D1

Is 047F4D1 a valid ICD-10-PCS code for 2027?

Yes. 047F4D1 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 047F4D1 an O.R. procedure?

Yes. 047F4D1 is an O.R. procedure in MS-DRG v44.0.

What DRG does 047F4D1 group to?

Depending on the principal diagnosis, 047F4D1 can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 047F4D1?

The CMS GEMs map 047F4D1 to ICD-9-CM 00.40 (Procedure on single vessel), 00.45 (Insertion of one vascular stent), 39.50 (Angioplasty of other non-coronary vessel(s)) and 1 more.