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ICD-10-PCS 2027 procedure code

04BF4ZZExcision of Left Internal Iliac Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Excision of Left Internal Iliac 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 04BF4ZZ

04BF4ZZ is the ICD-10-PCS code for a excision procedure on the left internal iliac 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 04BF0ZZ (open) and 04BF3ZZ (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
FInternal Iliac Artery, Left

Includes: Deferential artery; Hypogastric artery; Iliolumbar artery; Inferior gluteal artery; Inferior vesical artery; Internal pudendal artery; Lateral sacral artery; Middle rectal artery; Obturator artery; Prostatic artery; Superior gluteal artery; Superior vesical artery; Umbilical artery; Uterine Artery; Vaginal 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 qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

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

  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 04BF4ZZ

Is 04BF4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04BF4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04BF4ZZ an O.R. procedure?

Yes. 04BF4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04BF4ZZ group to?

Depending on the principal diagnosis, 04BF4ZZ 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 04BF4ZZ?

The CMS GEMs map 04BF4ZZ to ICD-9-CM 38.36 (Resection of vessel with anastomosis, abdominal arteries) and 38.66 (Other excision of vessels, abdominal arteries).