Skip to content
Dx

ICD-10-PCS 2027 procedure code

04L44CZOcclusion of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion Splenic Art w Extralum Dev, Perc Endo

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 04L44CZ

04L44CZ is the ICD-10-PCS code for a occlusion procedure on the splenic artery using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other surgical occlusion of vessels, abdominal arteries, the ICD-9-CM procedure title it maps to (38.86).

For a different body part, codes include 04L04CZ (abdominal aorta), 04L14CZ (celiac artery), 04L24CZ (gastric artery), 04L34CZ (hepatic artery), 04L54CZ (superior mesenteric artery), 04L64CZ (right colic artery) and 24 more.

The same procedure with a different approach is coded 04L40CZ (open) and 04L43CZ (percutaneous).

With a different device, use 04L44DZ (intraluminal device) and 04L44ZZ (no device).

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”, “Splenic 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
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
4Splenic Artery

Includes: Left gastroepiploic artery; Pancreatic artery; Short gastric 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
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

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.

MDC 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders · Splenic Procedures

ICD-9-CM equivalent

Converter →
  • 38.86Other surgical occlusion of vessels, abdominal arteriesapproximate

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 04L44CZ

Is 04L44CZ a valid ICD-10-PCS code for 2027?

Yes. 04L44CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04L44CZ an O.R. procedure?

Yes. 04L44CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04L44CZ group to?

Depending on the principal diagnosis, 04L44CZ 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 04L44CZ?

The CMS GEMs map 04L44CZ to ICD-9-CM 38.86 (Other surgical occlusion of vessels, abdominal arteries).