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ICD-10-PCS 2027 procedure code

04CS3ZZExtirpation of Matter from Left Posterior Tibial Artery, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpation of Matter from L Post Tib Art, Perc 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 04CS3ZZ

04CS3ZZ is the ICD-10-PCS code for a extirpation procedure on the left posterior tibial artery using a percutaneous 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, atherectomy of other non-coronary vessel(s), Endarterectomy, lower limb arteries and 1 more, the ICD-9-CM procedure titles it maps to (00.40, 17.56, 38.18 and 1 more).

For a different body part, codes include 04C03ZZ (abdominal aorta), 04C13ZZ (celiac artery), 04C23ZZ (gastric artery), 04C33ZZ (hepatic artery), 04C43ZZ (splenic artery), 04C53ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04CS0ZZ (open) and 04CS4ZZ (percutaneous endoscopic).

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 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 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
SPosterior Tibial Artery, Left
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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
  • 17.56Atherectomy of other non-coronary vessel(s)approximate, combination
  • 38.18Endarterectomy, lower limb arteriesapproximate, combination
  • 39.79Other endovascular procedures on other vesselsapproximate

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 04CS3ZZ

Is 04CS3ZZ a valid ICD-10-PCS code for 2027?

Yes. 04CS3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04CS3ZZ an O.R. procedure?

Yes. 04CS3ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04CS3ZZ group to?

Depending on the principal diagnosis, 04CS3ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 04CS3ZZ?

The CMS GEMs map 04CS3ZZ to ICD-9-CM 00.40 (Procedure on single vessel), 17.56 (Atherectomy of other non-coronary vessel(s)), 38.18 (Endarterectomy, lower limb arteries) and 1 more.