ICD-10-PCS 2027 procedure code
04C04ZZExtirpation of Matter from Abdominal Aorta, Percutaneous Endoscopic Approach
Short description: Extirpation of Matter from Abd Aorta, 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 04C04ZZ
04C04ZZ is the ICD-10-PCS code for a extirpation procedure on the abdominal aorta using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.
In plain terms, this corresponds to procedure on single vessel, incision of vessel, aorta and Endarterectomy, aorta, the ICD-9-CM procedure titles it maps to (00.40, 38.04 and 38.14).
For a different body part, codes include 04C14ZZ (celiac artery), 04C24ZZ (gastric artery), 04C34ZZ (hepatic artery), 04C44ZZ (splenic artery), 04C54ZZ (superior mesenteric artery), 04C64ZZ (right colic artery) and 24 more.
The same procedure with a different approach is coded 04C00ZZ (open) and 04C03ZZ (percutaneous).
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
- CExtirpation
Taking or cutting out solid matter from a body part
The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces
Includes: Thrombectomy, choledocholithotomy
- 4. Body Part
- 0Abdominal Aorta
Includes: Inferior phrenic artery; Lumbar artery; Median sacral artery; Middle suprarenal artery; Ovarian artery; Testicular 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
- 04C14ZZCeliac Artery
- 04C24ZZGastric Artery
- 04C34ZZHepatic Artery
- 04C44ZZSplenic Artery
- 04C54ZZSuperior Mesenteric Artery
- 04C64ZZColic Artery, Right
- 04C74ZZColic Artery, Left
- 04C84ZZColic Artery, Middle
- 04C94ZZRenal Artery, Right
- 04CA4ZZRenal Artery, Left
- 04CB4ZZInferior Mesenteric Artery
- 04CC4ZZCommon Iliac Artery, Right
Different approach
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 →- 00.40Procedure on single vesselapproximate, combination
- 38.04Incision of vessel, aortaapproximate
- 38.14Endarterectomy, aortaapproximate, combination
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 04C04ZZ
Is 04C04ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04C04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04C04ZZ an O.R. procedure?
- Yes. 04C04ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04C04ZZ group to?
- Depending on the principal diagnosis, 04C04ZZ 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 04C04ZZ?
- The CMS GEMs map 04C04ZZ to ICD-9-CM 00.40 (Procedure on single vessel), 38.04 (Incision of vessel, aorta) and 38.14 (Endarterectomy, aorta).