ICD-10-PCS 2027 procedure code
04BA4ZZExcision of Left Renal Artery, Percutaneous Endoscopic Approach
Short description: Excision of Left Renal Artery, 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 04BA4ZZ
04BA4ZZ is the ICD-10-PCS code for a excision procedure on the left renal artery using a percutaneous endoscopic 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, abdominal arteries and other excision of vessels, abdominal arteries, the ICD-9-CM procedure titles it maps to (38.36 and 38.66).
For a different body part, codes include 04B04ZZ (abdominal aorta), 04B14ZZ (celiac artery), 04B24ZZ (gastric artery), 04B34ZZ (hepatic artery), 04B44ZZ (splenic artery), 04B54ZZ (superior mesenteric artery) and 24 more.
The same procedure with a different approach is coded 04BA0ZZ (open) and 04BA3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC) and DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Digestive System O.R. Procedures”, “Other Kidney and Urinary Tract Procedures” and 2 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
- ARenal Artery, Left
Includes: Inferior suprarenal artery; Renal segmental 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 04B04ZZAbdominal Aorta
- 04B14ZZCeliac Artery
- 04B24ZZGastric Artery
- 04B34ZZHepatic Artery
- 04B44ZZSplenic Artery
- 04B54ZZSuperior Mesenteric Artery
- 04B64ZZColic Artery, Right
- 04B74ZZColic Artery, Left
- 04B84ZZColic Artery, Middle
- 04B94ZZRenal Artery, Right
- 04BB4ZZInferior Mesenteric Artery
- 04BC4ZZCommon 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 · Other Major Cardiovascular Procedures
MDC 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Other Kidney and Urinary Tract 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 →- 38.36Resection of vessel with anastomosis, abdominal arteriesapproximate
- 38.66Other excision of vessels, abdominal arteriesapproximate
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 04BA4ZZ
Is 04BA4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04BA4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04BA4ZZ an O.R. procedure?
- Yes. 04BA4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04BA4ZZ group to?
- Depending on the principal diagnosis, 04BA4ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 356, MS-DRG 357 and MS-DRG 358.
What is the ICD-9 procedure code for 04BA4ZZ?
- The CMS GEMs map 04BA4ZZ to ICD-9-CM 38.36 (Resection of vessel with anastomosis, abdominal arteries) and 38.66 (Other excision of vessels, abdominal arteries).