ICD-10-PCS 2027 procedure code
04CY3ZZExtirpation of Matter from Lower Artery, Percutaneous Approach
Short description: Extirpation of Matter from Lower Artery, 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 04CY3ZZ
04CY3ZZ is the ICD-10-PCS code for a extirpation procedure on the lower 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, unspecified site and 1 more, the ICD-9-CM procedure titles it maps to (00.40, 17.56, 38.10 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 04CY0ZZ (open) and 04CY4ZZ (percutaneous endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 037 (Extracranial Procedures with MCC), DRG 038 (Extracranial Procedures with CC), DRG 039 (Extracranial Procedures without CC/MCC), DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical categories “Extracranial Procedures”, “Other Major Cardiovascular Procedures”, “Other Digestive System O.R. Procedures” and 7 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
- YLower Artery
Includes: Umbilical artery
- 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
Different body part
- 04C03ZZAbdominal Aorta
- 04C13ZZCeliac Artery
- 04C23ZZGastric Artery
- 04C33ZZHepatic Artery
- 04C43ZZSplenic Artery
- 04C53ZZSuperior Mesenteric Artery
- 04C63ZZColic Artery, Right
- 04C73ZZColic Artery, Left
- 04C83ZZColic Artery, Middle
- 04C93ZZRenal Artery, Right
- 04CA3ZZRenal Artery, Left
- 04CB3ZZInferior Mesenteric Artery
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 01 · Diseases and Disorders of the Nervous System · Extracranial Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Major Cardiovascular Procedures
MDC 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Other Hepatobiliary or Pancreas O.R. Procedures
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Other Kidney and Urinary Tract Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
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
- 17.56Atherectomy of other non-coronary vessel(s)approximate, combination
- 38.10Endarterectomy, unspecified siteapproximate, combination
- 38.18Endarterectomy, lower limb arteriesapproximate, 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 04CY3ZZ
Is 04CY3ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04CY3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04CY3ZZ an O.R. procedure?
- Yes. 04CY3ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04CY3ZZ group to?
- Depending on the principal diagnosis, 04CY3ZZ can group to MS-DRG 037, MS-DRG 038, MS-DRG 039, MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 04CY3ZZ?
- The CMS GEMs map 04CY3ZZ to ICD-9-CM 00.40 (Procedure on single vessel), 17.56 (Atherectomy of other non-coronary vessel(s)), 38.10 (Endarterectomy, unspecified site) and 1 more.