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ICD-10-PCS 2027 procedure code

04CB4ZZExtirpation of Matter from Inferior Mesenteric Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpate of Matter from Inf Mesent Art, 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 04CB4ZZ

04CB4ZZ is the ICD-10-PCS code for a extirpation procedure on the inferior mesenteric artery 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, abdominal arteries and Endarterectomy, abdominal arteries, the ICD-9-CM procedure titles it maps to (00.40, 38.06 and 38.16).

For a different body part, codes include 04C04ZZ (abdominal aorta), 04C14ZZ (celiac artery), 04C24ZZ (gastric artery), 04C34ZZ (hepatic artery), 04C44ZZ (splenic artery), 04C54ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04CB0ZZ (open) and 04CB3ZZ (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
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
BInferior Mesenteric Artery

Includes: Sigmoid artery; Superior rectal 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

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 →
  • 00.40Procedure on single vesselapproximate, combination
  • 38.06Incision of vessel, abdominal arteriesapproximate
  • 38.16Endarterectomy, abdominal arteriesapproximate, combination

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 04CB4ZZ

Is 04CB4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04CB4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04CB4ZZ an O.R. procedure?

Yes. 04CB4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04CB4ZZ group to?

Depending on the principal diagnosis, 04CB4ZZ 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 04CB4ZZ?

The CMS GEMs map 04CB4ZZ to ICD-9-CM 00.40 (Procedure on single vessel), 38.06 (Incision of vessel, abdominal arteries) and 38.16 (Endarterectomy, abdominal arteries).