ICD-10-PCS 2027 procedure code
049400ZDrainage of Splenic Artery with Drainage Device, Open Approach
Short description: Drainage of Splenic Artery with Drain Dev, Open 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 049400Z
049400Z is the ICD-10-PCS code for a drainage procedure on the splenic artery using an open approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.
In plain terms, this corresponds to other puncture of artery, the ICD-9-CM procedure title it maps to (38.98).
For a different body part, codes include 049000Z (abdominal aorta), 049100Z (celiac artery), 049200Z (gastric artery), 049300Z (hepatic artery), 049500Z (superior mesenteric artery), 049600Z (right colic artery) and 24 more.
The same procedure with a different approach is coded 049430Z (percutaneous) and 049440Z (percutaneous endoscopic).
With a different device, use 04940ZZ (no device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- 9Drainage
Taking or letting out fluids and/or gases from a body part
The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Includes: Thoracentesis, incision and drainage
- 4. Body Part
- 4Splenic Artery
Includes: Left gastroepiploic artery; Pancreatic artery; Short gastric artery
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- 0Drainage Device
Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 049000ZAbdominal Aorta
- 049100ZCeliac Artery
- 049200ZGastric Artery
- 049300ZHepatic Artery
- 049500ZSuperior Mesenteric Artery
- 049600ZColic Artery, Right
- 049700ZColic Artery, Left
- 049800ZColic Artery, Middle
- 049900ZRenal Artery, Right
- 049A00ZRenal Artery, Left
- 049B00ZInferior Mesenteric Artery
- 049C00ZCommon Iliac Artery, Right
Different approach
Different device
ICD-9-CM equivalent
Converter →- 38.98Other puncture of arteryapproximate
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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 049400Z
Is 049400Z a valid ICD-10-PCS code for 2027?
- Yes. 049400Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 049400Z?
- The CMS GEMs map 049400Z to ICD-9-CM 38.98 (Other puncture of artery).