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ICD-10-PCS 2027 procedure code

049640ZDrainage of Right Colic Artery with Drainage Device, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Drainage of R Colic Art with Drain Dev, 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 049640Z

049640Z is the ICD-10-PCS code for a drainage procedure on the right colic artery using a percutaneous endoscopic 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 049040Z (abdominal aorta), 049140Z (celiac artery), 049240Z (gastric artery), 049340Z (hepatic artery), 049440Z (splenic artery), 049540Z (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 049600Z (open) and 049630Z (percutaneous).

With a different device, use 04964ZZ (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
6Colic 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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 38.98Other puncture of arteryapproximate

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 049640Z

Is 049640Z a valid ICD-10-PCS code for 2027?

Yes. 049640Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 049640Z?

The CMS GEMs map 049640Z to ICD-9-CM 38.98 (Other puncture of artery).