ICD-10-PCS 2027 procedure code
04B00ZZExcision of Abdominal Aorta, 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 04B00ZZ
04B00ZZ is the ICD-10-PCS code for a excision procedure on the abdominal aorta using an open approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to resection of vessel with anastomosis, aorta and other excision of vessels, aorta, abdominal, the ICD-9-CM procedure titles it maps to (38.34 and 38.64).
For a different body part, codes include 04B10ZZ (celiac artery), 04B20ZZ (gastric artery), 04B30ZZ (hepatic artery), 04B40ZZ (splenic artery), 04B50ZZ (superior mesenteric artery), 04B60ZZ (right colic artery) and 24 more.
The same procedure with a different approach is coded 04B03ZZ (percutaneous) and 04B04ZZ (percutaneous endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC), DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC), DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC), DRG 358 (Other Digestive System O.R. Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Aortic and Heart Assist Procedures Except Pulsation Balloon”, “Other Digestive System O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.
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
- BExcision
Cutting out or off, without replacement, a portion of a body part
The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Includes: Partial nephrectomy, liver biopsy
- 4. Body Part
- 0Abdominal Aorta
Includes: Inferior phrenic artery; Lumbar artery; Median sacral artery; Middle suprarenal artery; Ovarian artery; Testicular 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 04B10ZZCeliac Artery
- 04B20ZZGastric Artery
- 04B30ZZHepatic Artery
- 04B40ZZSplenic Artery
- 04B50ZZSuperior Mesenteric Artery
- 04B60ZZColic Artery, Right
- 04B70ZZColic Artery, Left
- 04B80ZZColic Artery, Middle
- 04B90ZZRenal Artery, Right
- 04BA0ZZRenal Artery, Left
- 04BB0ZZInferior Mesenteric Artery
- 04BC0ZZCommon Iliac Artery, Right
Different approach
Different qualifier
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 · Aortic and Heart Assist Procedures Except Pulsation Balloon
MDC 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 38.34Resection of vessel with anastomosis, aortaapproximate
- 38.64Other excision of vessels, aorta, abdominalapproximate
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 04B00ZZ
Is 04B00ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04B00ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04B00ZZ an O.R. procedure?
- Yes. 04B00ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04B00ZZ group to?
- Depending on the principal diagnosis, 04B00ZZ can group to MS-DRG 268, MS-DRG 269, MS-DRG 356, MS-DRG 357, MS-DRG 358 and MS-DRG 907.
What is the ICD-9 procedure code for 04B00ZZ?
- The CMS GEMs map 04B00ZZ to ICD-9-CM 38.34 (Resection of vessel with anastomosis, aorta) and 38.64 (Other excision of vessels, aorta, abdominal).