ICD-10-PCS 2027 procedure code
049Q40ZDrainage of Left Anterior Tibial Artery with Drainage Device, Percutaneous Endoscopic Approach
Short description: Drainage of L Ant Tib 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 049Q40Z
049Q40Z is the ICD-10-PCS code for a drainage procedure on the left anterior tibial 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 049Q00Z (open) and 049Q30Z (percutaneous).
With a different device, use 049Q4ZZ (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
- QAnterior Tibial Artery, Left
Includes: Anterior lateral malleolar artery; Anterior medial malleolar artery; Anterior tibial recurrent artery; Dorsalis pedis artery; Posterior tibial recurrent 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
- 0Drainage Device
Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 049040ZAbdominal Aorta
- 049140ZCeliac Artery
- 049240ZGastric Artery
- 049340ZHepatic Artery
- 049440ZSplenic Artery
- 049540ZSuperior Mesenteric Artery
- 049640ZColic Artery, Right
- 049740ZColic Artery, Left
- 049840ZColic Artery, Middle
- 049940ZRenal Artery, Right
- 049A40ZRenal Artery, Left
- 049B40ZInferior Mesenteric Artery
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 049Q40Z
Is 049Q40Z a valid ICD-10-PCS code for 2027?
- Yes. 049Q40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 049Q40Z?
- The CMS GEMs map 049Q40Z to ICD-9-CM 38.98 (Other puncture of artery).