Skip to content
Dx

ICD-10-PCS 2027 procedure code

04CS4ZZExtirpation of Matter from Left Posterior Tibial Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpate of Matter from L Post Tib 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 04CS4ZZ

04CS4ZZ is the ICD-10-PCS code for a extirpation procedure on the left posterior tibial 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, lower limb arteries and Endarterectomy, lower limb arteries, the ICD-9-CM procedure titles it maps to (00.40, 38.08 and 38.18).

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 04CS0ZZ (open) and 04CS3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC), DRG 254 (Other Vascular 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 Vascular 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
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
  • 38.08Incision of vessel, lower limb arteriesapproximate
  • 38.18Endarterectomy, lower limb 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 04CS4ZZ

Is 04CS4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04CS4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04CS4ZZ an O.R. procedure?

Yes. 04CS4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04CS4ZZ group to?

Depending on the principal diagnosis, 04CS4ZZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 04CS4ZZ?

The CMS GEMs map 04CS4ZZ to ICD-9-CM 00.40 (Procedure on single vessel), 38.08 (Incision of vessel, lower limb arteries) and 38.18 (Endarterectomy, lower limb arteries).